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HAGAN DENTISTRY, P.L.L.C
NPI 1164709531
Dentist - General Practice in Kingsport, TN

Active since November 13, 2011
3058 FORT HENRY DRIVE, SUITE A, KINGSPORT, TN 37664(423) 239-8021(423) 239-6273 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 14, 2023, Apr 18, 2017 (2 updates tracked since 2017).

About Hagan Dentistry, P.l.l.c NPPES

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

HAGAN DENTISTRY, P.L.L.C (NPI 1164709531) is a healthcare organization registered as a general practice in Kingsport, Tennessee and active in the NPI registry since November 2011. The organization lists Andrew Hagan, President, as its authorized official.

NPPES Registry Identity

NPI1164709531
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHAGAN DENTISTRY, P.L.L.C
Location Address3058 FORT HENRY DRIVE, SUITE AKingsport, TN 37664
Mailing Address3058 Fort Henry Drive, Suite AKingsport, TN 37664 · (423) 239-8021 · Fax (423) 239-6273
Phone(423) 239-8021
Fax(423) 239-6273
Organization SubpartNo
Authorized OfficialAndrew HaganPresident · (423) 239-8021
Enumeration DateNovember 13, 2011
Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1164709531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS8925
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.
3058 FORT HENRY DRIVE, Kingsport, TN 37664
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW RAY HAGAN DMD
Dentist (General Practice)
3058 FORT HENRY DRIVE, SUITE A
KINGSPORT, TN 37664
Sullivan County (423) 239-8021

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 Hagan Dentistry, P.L.L.C's NPI number?

The NPI number for Hagan Dentistry, P.L.L.C is 1164709531. It was assigned to this organization in the NPPES registry on November 13, 2011.

Where is Hagan Dentistry, P.L.L.C located?

Hagan Dentistry, P.L.L.C is located at 3058 Fort Henry Drive Suite A, Kingsport, TN 37664. The listed phone number is (423) 239-8021.

What is Hagan Dentistry, P.L.L.C'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 Hagan Dentistry, P.L.L.C was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.