Individual provider · Type 1 NPI
Bradley John Hagen
General Practice Dentistry · Mahtomedi, MN
NPI number
1316426752
Active
Practice location
814 Mahtomedi Ave
Mahtomedi, MN 55115-1730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401417733 (VA) |
| General Practice Dentistry | 1223G0001X | DEN.00203682 (CO) |
| General Practice Dentistry Primary | 1223G0001X | D15217 (MN) |
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.
4 other providers at this address
Other general practice dentistry providers in Mahtomedi
About NPI 1316426752
Bradley John Hagen's National Provider Identifier is 1316426752, issued on Aug 7, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mahtomedi, MN. The record was last updated on Jul 1, 2025.