Individual provider · Type 1 NPI
Carlton Bruce Hagstrom, DDS
General Practice Dentistry · Fox Lake, IL
NPI number
1144243585
Active
Practice location
208 S US Highway 12
Fox Lake, IL 60020-1928
Fax (847) 587-5400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 19A15870 (IL) |
General Practice Dentistry: 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.
Other general practice dentistry providers in Fox Lake
About NPI 1144243585
Carlton Bruce Hagstrom, DDS's National Provider Identifier is 1144243585, issued on Jul 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fox Lake, IL. The record was last updated on Jul 8, 2007.