| C Edward Hagan, DDS | |
|
112 Clifford Ave, Sylvania, GA 30467-2012 | |
| (912) 564-7107 | |
| (912) 564-9349 |
| Full Name | C Edward Hagan |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 112 Clifford Ave, Sylvania, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306853718 | NPI | - | NPPES |
| 00046373A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7053 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| C Edward Hagan, DDS 114 Morningside Dr, Sylvania, GA 30467-8515 Ph: (912) 564-2173 | C Edward Hagan, DDS 112 Clifford Ave, Sylvania, GA 30467-2012 Ph: (912) 564-7107 |
Maria H. Martinson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Clifford Ave, Sylvania, GA 30467 Phone: 912-564-7107 | |
Craig T. Martinson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Clifford Ave, Sylvania, GA 30467 Phone: 912-564-7107 |