| Hage Foundation Inc | |
|
217 E Cherry Ave Jonesboro AR 72401-3372 | |
| (870) 897-9465 | |
| Not Available |
| Full Name | Hage Foundation Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 217 E Cherry Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Clemmisa Harris (OWNER) |
| Authorized Official Contact | 8708979465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hage Foundation Inc 1620 Hillside Dr Jonesboro AR 72401-5006 Ph: (870) 897-9465 | Hage Foundation Inc 217 E Cherry Ave Jonesboro AR 72401-3372 Ph: (870) 897-9465 |
| NPI Number | 1225625791 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225625791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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