Search › Illinois › 1223G0001X
Kyle Hagen, D.M.D
NPI 1528139227 · on the registry since 2006 · sole proprietor
Practice
- Address
- 96 S 9th St
East Alton, IL 62024 - Phone
- (618) 259-1400
- Organisation at this address
- Matthew J Mccullough, Dmd, 3 Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Illinois