David J. Hagstrom Llc
LBN: David J. Hagstrom Llc
David J. Hagstrom Llc is an health care organization with primary practice located at 2112 Viking Dr Nw , Rochester MN 55901-3522. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
David J. Hagstrom Llc can be contacted via phone (507) 288-1744, or through Hagstrom, David Jerome via phone (507) 288-1744.
Contact Information
Primary practice address
2112 Viking Dr Nw
Rochester MN 55901-3522
Phone: (507) 288-1744
Fax: (507) 292-5776
Website:
Authorized official contact:
Name: Hagstrom, David Jerome Doctor of Dental Surgery (DDS)
Phone: (507) 288-1744
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11449 | Minnesota |
Profile Details
| NPI number | 1225196363 |
|---|---|
| LBN Legal business name | David J. Hagstrom Llc |
| DBA Doing business as | |
| Authorized official | Hagstrom, David Jerome Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225196363 | NPPES |
| Minnesota | Other | 39492MA | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 9175780 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | D11449 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 1348318 | BLUE CROSS BLUE SHIELD |
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