Provider Demographics
NPI:1326726845
Name:STEVEN HASSENPLUG DDS LLC
Entity Type:Organization
Organization Name:STEVEN HASSENPLUG DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HASSENPLUG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-252-9228
Mailing Address - Street 1:2406 S DRIFTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-8637
Mailing Address - Country:US
Mailing Address - Phone:620-252-9228
Mailing Address - Fax:
Practice Address - Street 1:3121 S PICKWICK PL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-3740
Practice Address - Country:US
Practice Address - Phone:417-883-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty