Organization Active NPI

Dagen Dental, PLLC

  • General Practice Dentistry
  • Lakeland, TN
National Provider Identifier
1073433017
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAGEN DENTAL, PLLC
Practice address
9789 Market Green PL S Ste 101
Lakeland, TN 38002-1280
Phone
(901) 610-1577
NPI assigned
Jul 20, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Ryan Keith Dagen, DDS
Title
Dentist/Owner
Phone
(901) 550-8728

National Provider Directory

National Provider Directory

Locations

9789 Market Green Pl S
Ste 101
Lakeland, TN 38002

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

9789 Market Green PL S Ste 101
Lakeland, TN 38002-1280

Mailing address

9789 Market Green PL S Ste 101
Lakeland, TN 38002-1280

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2026.

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1073433017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9789 MARKET GREEN PL S STE 101",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380021280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9789 MARKET GREEN PL S STE 101",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380021280",
            "telephone_number": "901-610-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGEN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "DAGEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-550-8728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.