William J. Hagerty DDS Inc
Organization Active NPI Dentist · Eaton, OH
NPI 1164519369 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164519369
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 30016938 (OH)
- Legal business name
- WILLIAM J. HAGERTY DDS INC
- Practice address
- 1024 North Barron Street
Eaton, OH 45320 - Phone
- (937) 456-6228
- Fax
- (937) 456-0150
- NPI assigned
- Oct 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Nevada D Endicott
- Title
- Business Manager
- Phone
- (937) 837-1888
Corporate family (same tax ID) 4
Practitioners 1
-
Zoltan Nagy, DMD
National Provider Directory
- Tax ID family
- Centerville Dental Associates
Locations
1024 N Barron St
Eaton, OH 45320
Phone (937) 456-6228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 30016938 | OH | Yes |
Addresses
Primary practice location
1024 North Barron Street
Eaton, OH 45320
Mailing address
1024 North Barron Street
Eaton, OH 45320
Phone (937) 456-6228
Other names
- Eaton Family Dental
Other providers in Eaton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.