MEDICARE: DR. JEAN MELINDA HAGAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	014229	MO

General Provider Information

NPI Number	:	1689640666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAN MELINDA HAGAN DDS

Provider Business Mailing Address
First Line	:	PO BOX 339
Second Line	:
City	:	CRYSTAL CITY
State	:	MO
Zip	:	63019
Country	:	US
Telephone Number	:	636-937-5707
Fax Number	:	636-937-6023

Provider Business Practice Location Address
First Line	:	600B N TRUMAN BLVD
Second Line	:
City	:	CRYSTAL CITY
State	:	MO
Zip	:	63019
Country	:	US
Telephone Number	:	636-937-5707
Fax Number	:	636-937-6023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396743928 — DR. JUNG HUN LEE M.D.
Practice Location Address:

170 INDUSTRIAL DR. , MEDICAL VILLAGE BLDG, SUITE 105
CRYSTAL CITY, MO
63019

Practice Phone: 636-937-0817
Practice Fax: 636-937-8818

1457321846 — EXCEL CARE OB GYN INC
Practice Location Address:

1439 US HWY 61 , SUITE A
CRYSTAL CITY, MO
63019

Practice Phone: 636-937-6484
Practice Fax: 636-933-0277

1548233000 — AMERICAN HOMEPATIENT, INC.
Practice Location Address:

2306 N TRUMAN BLVD
CRYSTAL CITY, MO
63019-1037

Practice Phone: 800-321-3321
Practice Fax: 636-937-0193

1801844618 — CRYSTAL CITY EMERGENCY SERVICES, LLC
Practice Location Address:

HIGHWAY 61 SOUTH
CRYSTAL CITY, MO
63019

Practice Phone: 636-933-1000
Practice Fax: 904-805-1302

1639120082 — WILLIAM L UNDERWOOD MD
Practice Location Address:

HWY 61S AT HWY 67
CRYSTAL CITY, MO
63019

Practice Phone: 636-933-1000
Practice Fax:

1447201868 — RODOLFO MACEREN MD
Practice Location Address:

HWY 61S AT HWY 67
CRYSTAL CITY, MO
63019

Practice Phone: 636-933-1000
Practice Fax:

Directions to “ DR. JEAN MELINDA HAGAN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.