Hagan, Jean Melinda

Hagan, Jean Melinda is an individual health care provider with primary practice located at 600B N Truman Blvd , Crystal City MO 63019. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Hagan, Jean Melinda can be contacted via phone (636) 937-5707.

Contact Information

Primary practice address
600B N Truman Blvd Crystal City MO 63019
Phone: (636) 937-5707
Fax: (636) 937-6023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 014229 Missouri

Profile Details

NPI number 1689640666
LBN Legal business name Hagan, Jean Melinda
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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