William J. Hagerty DDS Inc.

NPI #1174616932 in Centerville, Ohio

Provider Information

NPI Number: 1174616932
Entity Type: Organization
Organization Name: William J. Hagerty DDS Inc.
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7058 CORPORATE WAY
Address 2: SUITE #2
City: Centerville
State: Ohio
ZIP Code: 45459
Phone: (937) 434-3987

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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