Jacob Wilhelm Hagmayer, DDS
Dentist in Hartland, WI. Individual provider (NPI-1).
NPI number1760113435
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1760113435
- Entity type
- Individual (NPI-1)
- Name
- Jacob Wilhelm Hagmayer
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2022
- Certification date
- Apr 8, 2024
- Last updated
- Apr 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6001062-15 | WI | Yes |
Practice location
625 Walnut Ridge Dr Ste 102Hartland, WI 53029-8803
Phone 262-367-4255
Mailing address
4242 S 90th StGreenfield, WI 53228-2218
Other practice locations
3520 W Oklahoma Ave
Milwaukee, WI 53215-4175
Milwaukee, WI 53215-4175
Phone 414-645-0365
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All 10 Dentist providers in Hartland · All 267 providers in Hartland
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