Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306853718 Individual Practitioner Male Practitioner

Dr. C. Edward Hagan , DDS

Dentist - General Practice • Sylvania, GA

Professional Overview & Biography Verified Profile Summary

Dr. C. Hagan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sylvania, GA. Practice services are available at 112 CLIFFORD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 Clifford Ave

Sylvania, GA 304672012

Telephone 9125647107
Fax 9125649349
Associated Practice Facility / Clinic
🏢 Screven Dental Facility NPI 1821501040

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sylvania, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Sylvania, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 7053

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00046373A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Maria Martinson , DMD

Dentist - General Practice

NPI 1619986320

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 112 CLIFFORD AVE, SYLVANIA, GA 304672012 (Tel: 9125647107)

📍
Updated Business Mailing Address July 08, 2007

Registered at 114 MORNINGSIDE DR, SYLVANIA, GA 304678515 (Tel: 9125642173)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as C. HAGAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7053 in GA)

🟢
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306853718
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

114 Morningside Dr

Sylvania, GA 304678515

Phone: 9125642173

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.