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HAGAN RODRIGUEZ PERIODONTICS & IMPLANTS NPI 1093872525


NPI Information

NPI: 1093872525
Provider Name: HAGAN RODRIGUEZ PERIODONTICS & IMPLANTS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
335 W LAKE LANSING RD STE 100
EAST LANSING, MI
ZIP 48823
Phone: (517) 336-9880
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HAGAN RODRIGUEZ PERIODONTICS & IMPLANTS is a periodontics dentist in East Lansing, MI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. HAGAN RODRIGUEZ PERIODONTICS & IMPLANTS NPI is 1093872525. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

335 W LAKE LANSING RD STE 100
EAST LANSING, MI
ZIP 48823-486
Phone: (517) 336-9880
Fax: (517) 336-9881

The provider's authorized official is Lisa Lynn Vermillion .
The authorized official title is Office Manager and has the following contact phone number (517) 336-9880.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 1/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics17100MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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