Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY JOHN HAGEN
ActiveBRADLEY JOHN HAGEN is a General Dentistry healthcare provider located in MAHTOMEDI, Minnesota. NPI 1316426752 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MAHTOMEDI, MN
Registration Details
- NPI Number
- 1316426752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2018 (8.0318840124766 yrs)
- Last Updated
- Jul 1, 2025
- Licenses
-
0401417733 (VA)DEN.00203682 (CO)D15217 (MN)
Practice Information
- Address
-
814 MAHTOMEDI AVEMAHTOMEDI, MN, 551151730Browse MN providers · Browse ZIP 55115
- Phone
- 6514260011
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in MAHTOMEDI, MN
| Name | Credential | NPI |
|---|---|---|
| DR. PERRI LYNN KAULS | D.D.S. | 1770710972 |
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.