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Search › Minnesota › General Practice Dentistry

Bradley Hagen

NPI 1316426752 · on the registry since 2018

Practice

Address
814 Mahtomedi Ave
Mahtomedi, MN 55115
Phone
(651) 426-0011
Organisation at this address
Mahtomedi Dental Clinic
Mahtomedi Family Dental
Mahtomedi Dental Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
General Practice Dentistry
Licence states on file
VA, CO, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota