Individual provider · Type 1 NPI

John Mason Hackenberger, DDS

Oral and Maxillofacial Surgery (Dentist) · Warren, MI

NPI number 1790730406 Active

Practice location

29427 Ryan Rd
Warren, MI 48092-2203

Fax (586) 755-1081

Mailing address

29425 Ryan Rd
Warren, MI 48092-2203

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901016237 (MI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1790730406

John Mason Hackenberger, DDS's National Provider Identifier is 1790730406, issued on May 23, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Warren, MI. The record was last updated on Jul 24, 2009.