William J. Hagerty DDS INC

NPI #1063592798 in Centerville, Ohio

Provider Information

NPI Number: 1063592798
Entity Type: Organization
Organization Name: William J. Hagerty DDS INC
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7058 CORPORATE WAY
Address 2: SUITE 1
City: Centerville
State: Ohio
ZIP Code: 45459
Phone: (937) 433-8303

Authorized Official

Name: NEVADA D ENDICOTT
Title: BUSINESS MANAGER
Phone: (937) 837-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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