Organization
MICHAEL A. HAZEY II, D.D.S., INC.
Active
Other names
Hazey Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. HAZEY II DDS (DENTIST)
(304) 622-0595
Entity
Organization
Contact information
Practice address
720 E PIKE ST, CLARKSBURG, WV 26301-2240
(304) 622-0595
(304) 622-6290
Mailing address
720 E PIKE ST, CLARKSBURG, WV 26301-2240
(304) 622-0595
(304) 622-6290
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2255
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CKWV1
—
WV
Enumeration date
12/10/2010
Last updated
03/11/2013
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