MEDICARE: DR. MICHAEL ANTHONY HAGE DDS, MS

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		IL
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry		IL

General Provider Information

NPI Number	:	1013129436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANTHONY HAGE DDS, MS

Provider Business Mailing Address
First Line	:	2727 N OAKLAND AVE
Second Line	:	SUITE 106
City	:	DECATUR
State	:	IL
Zip	:	62526-1586
Country	:	US
Telephone Number	:	217-875-5010
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 N OAKLAND AVE
Second Line	:	SUITE 106
City	:	DECATUR
State	:	IL
Zip	:	62526-1586
Country	:	US
Telephone Number	:	217-875-5010
Fax Number	:

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

Provider Enumeration Date	:	05/06/2007
Last Update Date	:	09/11/2025

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