Hage Family Dentistry

NPI #1215135280 in Gulfport, Mississippi

Provider Information

NPI Number: 1215135280
Entity Type: Organization
Organization Name: Hage Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 10, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 400 PASS RD
City: Gulfport
State: Mississippi
ZIP Code: 39507-2901
Phone: (228) 864-3416

Authorized Official

Name: DR. LAURENCE MATTHEW HAGE, D.M.D.
Title: OWNER
Phone: (228) 864-3416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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