Active NPI
Dagen Dental, PLLC
- General Practice Dentistry
- Lakeland, TN
National Provider Identifier
1073433017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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 DirectoryLocations
9789 Market Green Pl S
Ste 101
Lakeland, TN 38002
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.