Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407921919 Individual Practitioner Male Practitioner

Dr. Robert E Hackley , DDS

Dentist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Robert Hackley, DDS is a registered healthcare professional specializing in Dentist in Fargo, ND. Practice services are available at 306 4TH ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

306 4th St N

Fargo, ND 581024820

Telephone 7012397111
Associated Practice Facility / Clinic
🏢 Family Health Care Center Facility NPI 1801965967

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Fargo, ND (232 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN 12109

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41358 (ND)

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1053480277

Doctor of Dental Surgery

Helen Reddy , PA

Physician Assistant

NPI 1194804674

Physician Assistant

NPI 1194804757

Doctor of Medicine (M.D.)

NPI 1295804334

Doctor of Dental Surgery

Lori Schmidt , FNP

Nurse Practitioner - Family

NPI 1558440040

Family Nurse Practitioner

Avis Grothem , FNP, CNM

Nurse Practitioner - Obstetrics & Gynecology

NPI 1841379401

Family Nurse Practitioner, Certified Nurse Midwife

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 306 4TH ST N, FARGO, ND 581024820 (Tel: 7012397111)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2625, FARGO, ND 581082625 (Tel: 7012397111)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT HACKLEY, DDS

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

Dentist (License #12109 in MN)

🟢
Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Hackley. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Hackley

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407921919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 2625

Fargo, ND 581082625

Phone: 7012397111

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.