Provider Demographics
NPI:1811553530
Name:HEDGER, MARION FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:FRANKLIN
Last Name:HEDGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7728 TANAGER CT
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8048
Mailing Address - Country:US
Mailing Address - Phone:317-344-6193
Mailing Address - Fax:
Practice Address - Street 1:1485 S GRANT AVE
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-3361
Practice Address - Country:US
Practice Address - Phone:765-362-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013132A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice