Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Mason Hackenberger, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1790730406

Dr. John Mason Hackenberger, DDS is a Maxillofacial Surgery in Warren, Michigan. Graduated from University of Michigan Medical School in 1989, 37 years ago. Practices with Summit Oral and Maxillofacial Surgery PC, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
37
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
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

29427 Ryan Rd
Warren, MI 48092-2203
Phone: (586) 755-9340
Fax: (586) 755-1081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2901016237 (MI)

Record details

NPI number1790730406
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 24, 2009
Mailing address29425 Ryan Rd, Warren, MI 48092-2203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Group practice Summit Oral And Maxillofacial Surgery Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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