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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326884602

Dr. Ryan Chase Hackenberger, DMD is a Student in an Organized Health Care Education/Training Program in Grosse Pointe Woods, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024
Specialties on file
2
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

19511 Mack Ave
Grosse Pointe Woods, MI 48236-2836
Phone: (313) 882-7152
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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 · Licence 2901602287 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1326884602
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address1052 Yorkshire Rd, Grosse Pointe Park, MI 48230-1450

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