| Michael A. Hazey Ii, D.d.s., Inc. | |
|
720 E Pike St Clarksburg WV 26301-2240 | |
| (304) 622-0595 | |
| (304) 622-6290 |
| Full Name | Michael A. Hazey Ii, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 E Pike St, Clarksburg, West Virginia |
| Authorized Official Name and Position | Michael A. Hazey (DENTIST) |
| Authorized Official Contact | 3046220595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Hazey Ii, D.d.s., Inc. 720 E Pike St Clarksburg WV 26301-2240 Ph: (304) 622-0595 | Michael A. Hazey Ii, D.d.s., Inc. 720 E Pike St Clarksburg WV 26301-2240 Ph: (304) 622-0595 |
| NPI Number | 1174826275 |
|---|---|
| Provider Enumeration Date | 12/10/2010 |
| Last Update Date | 03/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174826275 | NPI | - | NPPES |
| CKWV1 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2255 (West Virginia) | Primary |
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