Provider Demographics
NPI:1245991546
Name:A. HAGYEGI DMD INC
Entity type:Organization
Organization Name:A. HAGYEGI DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGYEGI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, DMD
Authorized Official - Phone:858-224-3340
Mailing Address - Street 1:1968 S COAST HWY UNIT 1614
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-3681
Mailing Address - Country:US
Mailing Address - Phone:858-224-3340
Mailing Address - Fax:
Practice Address - Street 1:126 W EL NORTE PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2502
Practice Address - Country:US
Practice Address - Phone:760-480-5622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental