Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639150006 Individual Practitioner Male Practitioner

Dr. David Jerome Hagstrom , DDS

Dentist - General Practice • Rochester, MN

Professional Overview & Biography Verified Profile Summary

Dr. David Hagstrom, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rochester, MN. Practice services are available at 2112 VIKING DR NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2112 Viking Dr Nw

Rochester, MN 559013522

Telephone 5072881744
Fax 5072925776
Associated Practice Facility / Clinic
🏢 Dr. Terry Klampe, Inc. Facility NPI 1407860497

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rochester, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
95 Specialists

Practicing in Rochester, MN (2262 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 MN D11449

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

Commercial Insurance / Payer ID Bcbs
39492MA
Commercial Insurance / Payer ID Mn Id
5242464
Commercial Insurance / Payer ID Mn Bp
39492MA (MN)
Commercial Insurance / Payer ID Medical Assistance
918158000 (MN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1558373654

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 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2112 VIKING DR NW, ROCHESTER, MN 559013522 (Tel: 5072881744)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2112 VIKING DR NW, ROCHESTER, MN 559013522 (Tel: 5072881744)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID HAGSTROM, DDS

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

Dentist (License #D11449 in MN)

🟢
Initial NPI Registration & Enumeration November 10, 2005

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: 1639150006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2112 Viking Dr Nw

Rochester, MN 559013522

Phone: 5072881744

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.