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Active NPI 1326884602 Individual Practitioner Male Practitioner

Dr. Ryan Chase Hackenberger , DMD

Dentist - General Practice • Grosse Pointe Woods, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Hackenberger, DMD is a registered healthcare professional specializing in Dentist - General Practice in Grosse Pointe Woods, MI. Practice services are available at 19511 MACK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19511 Mack Ave

Grosse Pointe Woods, MI 482362836

Telephone 3138827152
Associated Practice Facility / Clinic
🏢 Kathleen E. Gibney Dds Pc Facility NPI 1639277676

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grosse Pointe Woods, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Grosse Pointe Woods, MI (4360 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

CMS Verified: 2024-07-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901602287

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Kathleen Drawbaugh , DDS

Dentist - General Practice

NPI 1639277668

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2024

Registered at 19511 MACK AVE, GROSSE POINTE WOODS, MI 482362836 (Tel: 3138827152)

📍
Updated Business Mailing Address July 05, 2024

Registered at 1052 YORKSHIRE RD, GROSSE POINTE PARK, MI 482301450 (Tel: 3136702486)

👤
Provider Name / Credentials Updated July 05, 2024

Recorded as RYAN HACKENBERGER, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 05, 2024

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: 1326884602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2024
Last Update: July 17, 2024
Sole Proprietor: No

Mailing Address

1052 Yorkshire Rd

Grosse Pointe Park, MI 482301450

Phone: 3136702486

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.