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NPI Code Detail

MEDICARE: DR. TROND U HEGLE D.M.D.

MEDICARE:  DR. TROND U HEGLE  D.M.D.
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
1122300000XDentist7585AZ

General Provider Information

NPI Number : 1235395435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TROND U HEGLE D.M.D.
Provider Business Mailing Address
First Line : 4636 N 39TH PL
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3612
Country : US
Telephone Number : 480-381-5800
Fax Number :
Provider Business Practice Location Address
First Line : 3950 S COLUMBIA RD
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-3604
Country : US
Telephone Number : 701-232-1956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2008
Last Update Date : 05/28/2026

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Directions to “ DR. TROND U HEGLE D.M.D.” Practice Location

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