C. EDWARD HAGAN D.D.S.
NPI 1306853718
Dentist - General Practice in Sylvania, GA

Q: What is C. Hagan's NPI number?

The NPI number for C. Hagan is 1306853718. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is C. Hagan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for C. Hagan 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.

Active since August 01, 2006

112 CLIFFORD AVE, SYLVANIA, GA 30467(912) 564-7107(912) 564-9349 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About C. Edward Hagan D.d.s. NPPES

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

C. EDWARD HAGAN D.D.S. (NPI 1306853718) is an individual general practice provider in Sylvania, Georgia, licensed in Georgia (7053) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1306853718

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameC. EDWARD HAGANCredential: D.D.S.

Location Address112 CLIFFORD AVESylvania, GA 30467-2012

Mailing Address114 Morningside DrSylvania, GA 30467-8515 · (912) 564-2173

Phone(912) 564-7107

Fax(912) 564-9349

Sole ProprietorYes

Enumeration DateAugust 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306853718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 7053

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.

112 CLIFFORD AVE, Sylvania, GA 30467

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Other Identifiers 1

Medicaid00046373AGA

Other Providers at the Same Location NPPES 3

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

MARIA H. MARTINSON D.M.D.

Dentist (General Practice)

112 CLIFFORD AVE
SYLVANIA, GA 30467

Screven County (912) 564-7107

SCREVEN DENTAL

Clinic/Center (Dental)

112 CLIFFORD AVE
SYLVANIA, GA 30467

Screven County (912) 564-7107

CLIFFORD AVENUE DENTAL LLC

Dentist (General Practice)

112 CLIFFORD AVE
SYLVANIA, GA 30467

Screven County (912) 564-7107

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 C. Hagan's NPI number?

The NPI number for C. Hagan is 1306853718. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is C. Hagan located?

C. Hagan practices at 112 Clifford Ave, Sylvania, GA 30467. The listed phone number is (912) 564-7107.

What is C. Hagan'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 C. Hagan 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.