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CHARLES ERIC HAGAN DDS
NPI 1619921939
Dentist - Periodontics in East Lansing, MI

Active since May 20, 2006Opted out of Medicare · through May 25, 2027
335 W LAKE LANSING RD, EAST LANSING, MI 48823(517) 336-9880(517) 336-9881 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Eric Hagan Dds NPPES

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

CHARLES ERIC HAGAN DDS (NPI 1619921939) is an individual periodontics provider in East Lansing, Michigan, licensed in Michigan (2901017100) and active in the NPI registry since May 2006. He has opted out of Medicare through May 25, 2027.

NPPES Registry Identity

NPI1619921939
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameCHARLES ERIC HAGANCredential: DDS
Location Address335 W LAKE LANSING RDEast Lansing, MI 48823-1437
Mailing Address335 W Lake Lansing RdEast Lansing, MI 48823-1437 · (517) 336-9880 · Fax (517) 336-9881
Phone(517) 336-9880
Fax(517) 336-9881
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateJanuary 31, 2023
NPPES CertifiedOctober 8, 2020
✔ NPI 1619921939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · 2901017100
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

335 W LAKE LANSING RD, East Lansing, MI 48823
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Charles Eric Hagan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 25, 2021 through May 25, 2027.

Opt-Out Effective DateMay 25, 2021
Opt-Out In Effect ThroughMay 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

What is Charles Hagan's NPI number?

The NPI number assigned to this healthcare provider is 1619921939, enumerated as an "individual" on May 20, 2006.

Where is the provider located?

The provider is located at 335 W LAKE LANSING RD EAST LANSING, MI 48823 and the phone number is (517) 336-9880.

What is the provider's specialty?

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

What insurance does Charles Hagan accept?

The provider might be accepting Accepts: Delta Dental of Michigan. Please consult your insurance carrier or call the provider to verify.