Provider Demographics
NPI:1740334606
Name:BELL, KARI HAGANMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:HAGANMAN
Last Name:BELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KARI
Other - Middle Name:ELIZABETH
Other - Last Name:HAGANMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:401 E HAGANMAN LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:IA
Mailing Address - Zip Code:52333-9760
Mailing Address - Country:US
Mailing Address - Phone:319-624-4444
Mailing Address - Fax:319-624-6178
Practice Address - Street 1:401 E HAGANMAN LN
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:IA
Practice Address - Zip Code:52333-9760
Practice Address - Country:US
Practice Address - Phone:319-624-4444
Practice Address - Fax:319-624-6178
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA77131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0219105Medicaid