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

Dr. Kyle Blake Hagen, DMD

Individual provider General Practice Dentistry · NPI 1528139227

Dr. Kyle Blake Hagen, DMD is a General Practice Dentistry in East Alton, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

96 S 9th St
East Alton, IL 62024-1715
Phone: (618) 259-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1528139227
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

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