Organization
J. TAYLOR HAZARD, DMD & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TAYLOR HAZARD D.M.D. (PRESIDENT,OWNER)
(502) 366-4121
Entity
Organization
Contact information
Practice address
4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
(502) 366-4121
Mailing address
4701 SOUTHERN PKWY, LOUISVILLE, KY 40214-1424
(502) 366-4121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5781
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60057817
—
KY
Enumeration date
01/30/2007
Last updated
11/05/2015
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