# J. TAYLOR HAZARD, DMD & ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508903758
- **Authorized official:** DR. JAMES TAYLOR HAZARD D.M.D. (PRESIDENT,OWNER)
- **Authorized official phone:** (502) 366-4121

## Contact information

- **Practice address:** 4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
- **Practice address phone:** (502) 366-4121
- **Mailing address:** 4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
- **Mailing address phone:** (502) 366-4121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5781 | KY | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 11/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60057817 | — | KY |