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

Dr. Robert E Hackley Jr., DDS

Individual provider Dentist · NPI 1407921919

Dr. Robert E Hackley Jr., DDS is a Dentist in Fargo, North Dakota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
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

306 4th St N
Fargo, ND 58102-4820
Phone: (701) 239-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12109 (MN)

Record details

NPI number1407921919
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 2625, Fargo, ND 58108-2625

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