Individual provider · Type 1 NPI
Melanie Lynn Hageman, DDS
Pediatric Dentistry · Fargo, ND
NPI number
1659622173
Active
Practice location
3142 49th St S
Fargo, ND 58104-4450
Fax (701) 293-6999
Mailing address
517 18th Ave E
West Fargo, ND 58078-4224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2243 (ND) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Fargo
About NPI 1659622173
Melanie Lynn Hageman, DDS's National Provider Identifier is 1659622173, issued on Sep 24, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fargo, ND. The record was last updated on Mar 14, 2017.