IndividualActive
Michael Hagley, DDS
NPI 1972616605 · General Practice Dentistry · Grand Rapids, MN
Michael Hagley, DDS is a General Practice Dentistry provider in Grand Rapids, MN (NPI 1972616605).
Provider details
- NPI number
- 1972616605
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8842 (MN)
Practice location
220 Se 21st St
Grand Rapids, MN 55744-4268
Phone: (218) 326-3438
Fax: (218) 327-1475
Street-level locationGet directions
Mailing address
220 Se 21st St
Grand Rapids, MN 55744
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.