# MICHAEL A. HAZEY II, D.D.S., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Hazey Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174826275
- **Authorized official:** DR. MICHAEL A. HAZEY II DDS (DENTIST)
- **Authorized official phone:** (304) 622-0595

## Contact information

- **Practice address:** 720 E PIKE ST, CLARKSBURG, WV 26301-2240
- **Practice address phone:** (304) 622-0595
- **Practice address fax:** (304) 622-6290
- **Mailing address:** 720 E PIKE ST, CLARKSBURG, WV 26301-2240
- **Mailing address phone:** (304) 622-0595
- **Mailing address fax:** (304) 622-6290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2255 | WV | Yes |

## Other

- **Enumeration date:** 12/10/2010
- **Last updated:** 03/11/2013