Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ERIC HAGAN, DDS
ActiveCHARLES ERIC HAGAN, DDS is a Periodontology healthcare provider located in EAST LANSING, Michigan. NPI 1619921939 is currently active in the NPPES registry. Verify at CMS.
Periodontology · EAST LANSING, MI
Registration Details
- NPI Number
- 1619921939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2006 (20.274036850018 yrs)
- Last Updated
- Jan 31, 2023
- License
-
2901017100 (MI)
Practice Information
- Address
-
335 W LAKE LANSING RDEAST LANSING, MI, 488231437Browse MI providers · Browse ZIP 48823
- Phone
- 5173369880
- Fax
- 5173369881
- Primary Specialty
-
Periodontology
1223P0300X
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.