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General NPI Number Information
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NPI Number | 1073433017
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Entity Type | Organization
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Legal Business Name | DAGEN DENTAL, PLLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 9789 MARKET GREEN PL S STE 101
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City | LAKELAND
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State | TN
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Zip | 38002-1280
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Country | US
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Telephone | 901-610-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 9789 MARKET GREEN PL S STE 101
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City | LAKELAND
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State | TN
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Zip | 38002-1280
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RYAN KEITH DAGEN
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Credential | DDS
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Telephone | 901-550-8728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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