Healthcare Provider Details

I. General information

NPI: 1740334606
Provider Name (Legal Business Name): KARI HAGANMAN BELL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARI ELIZABETH HAGANMAN DDS

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E HAGANMAN LN
SOLON IA
52333-9760
US

IV. Provider business mailing address

401 E HAGANMAN LN
SOLON IA
52333-9760
US

V. Phone/Fax

Practice location:
  • Phone: 319-624-4444
  • Fax: 319-624-6178
Mailing address:
  • Phone: 319-624-4444
  • Fax: 319-624-6178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7713
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: