C Edward Hagan, DDS is a
Dentist - General Practice based in Sylvania, Georgia. C Edward Hagan is licensed to practice in Georgia (license number 7053) and his current practice location is
112 Clifford Ave, Sylvania, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 564-7107.
NPI number for C Edward Hagan is 1306853718 and his current mailing address is 114 Morningside Dr, Sylvania, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306853718.
Healthcare Provider's Profile
| Full Name | C Edward Hagan |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 112 Clifford Ave, Sylvania, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306853718
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for C Edward Hagan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306853718 | NPI | - | NPPES |
| 00046373A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7053 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. C Edward Hagan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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