Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bronwyn Patricia Hagan, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588123848

Bronwyn Patricia Hagan, DDS is a Student in an Organized Health Care Education/Training Program in Maspeth, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5829 69th Ln
Maspeth, NY 11378-2623
Phone: (718) 429-6931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 Parnassus Ave, San Francisco, CA 94143-2210 — (415) 502-5800

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 061458 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588123848
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 17, 2019
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

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