NPI 1174826275

Michael A. Hazey II, D.D.S., INC.

Organisation Dental Clinic/Center Clarksburg, WV

Practice location

Address: 720 E Pike St, Clarksburg, WV 26301-2240
Phone: (304) 622-0595
Fax: (304) 622-6290

Authorised official

Name: Michael A. Hazey
Title: Dentist
Phone: (304) 622-0595

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 2255 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1174826275
Entity type: Organization
NPI issued: 10 Dec 2010
Record last updated: 11 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.