Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARLTON BRUCE HAGSTROM, D.D.S.
Active Sole ProprietorDR. CARLTON BRUCE HAGSTROM, D.D.S. is a General Dentistry healthcare provider located in FOX LAKE, Illinois. NPI 1144243585 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FOX LAKE, IL
Registration Details
- NPI Number
- 1144243585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (19.909737644824 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19A15870 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 S US HIGHWAY 12FOX LAKE, IL, 600201928Browse IL providers · Browse ZIP 60020
- Phone
- 8475875400
- Fax
- 8475875400
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FOX LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL CHOO | D.D.S. | 1194737759 |
| DR. CAROLINE SHEPHERD | D.D.S. | 1972658094 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.