Patrick V. Hagerty, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6326 Issued in OR

Legal business name

PATRICK V. HAGERTY, DMD, PC

Practice address

1070 24TH Ave SW
Albany, OR 97321-7539

Phone

(541) 926-3689

Fax

(541) 928-6088

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick V Hagerty, DMD

Title

Owner

Phone

(541) 926-3689

Specialties & licenses 1

Addresses

Other names 1

• Patrick V. Hagerty, DMD Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306062831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 24TH AVE SW",
            "address_2": "PO BOX 649",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217539",
            "telephone_number": "541-926-3689",
            "fax_number": "541-928-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 24TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217539",
            "telephone_number": "541-926-3689",
            "fax_number": "541-928-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK V. HAGERTY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HAGERTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-926-3689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick V. Hagerty, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Albany, OR
• Providers in Albany, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.