Individual
HUNTER LAMKIN HAZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43025 W 12 MILE RD, NOVI, MI 48377-3012
(502) 774-4401
Mailing address
43025 W 12 MILE RD, NOVI, MI 48377-3012
(502) 774-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9940
KY
1223P0221X
Pediatric Dentistry
Primary
2901601455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901601455
MI SPECIALTY LICENSE - PEDIATRIC DENTISTRY
MI
01
—
9940
KY DENTAL LICENSE
KY
Enumeration date
06/21/2017
Last updated
03/19/2025
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