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DR. CARLTON BRUCE HAGSTROM D.D.S.
NPI 1144243585
Dentist - General Practice in Fox Lake, IL

Active since July 26, 2006
208 S US HIGHWAY 12, FOX LAKE, IL 60020(847) 587-5400(847) 587-5400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlton Bruce Hagstrom D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLTON BRUCE HAGSTROM D.D.S. (NPI 1144243585) is an individual general practice provider in Fox Lake, Illinois, licensed in Illinois (19A15870) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1144243585
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CARLTON BRUCE HAGSTROMCredential: D.D.S.
Location Address208 S US HIGHWAY 12Fox Lake, IL 60020-1928
Mailing Address208 S Us Highway 12Fox Lake, IL 60020-1928 · (847) 587-5400 · Fax (847) 587-5400
Phone(847) 587-5400
Fax(847) 587-5400
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144243585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 19A15870
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
208 S US HIGHWAY 12, Fox Lake, IL 60020
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlton Hagstrom's NPI number?

The NPI number for Carlton Hagstrom is 1144243585. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Carlton Hagstrom located?

Carlton Hagstrom practices at 208 S Us Highway 12, Fox Lake, IL 60020. The listed phone number is (847) 587-5400.

What is Carlton Hagstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Carlton Hagstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.