Hazelton, Brandon

Hazelton, Brandon is an individual health care provider with primary practice located at 1029 Reservoir Ave , Cranston RI 02910-5134. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Hazelton, Brandon can be contacted via phone (401) 943-1234.

Contact Information

Primary practice address
1029 Reservoir Ave Cranston RI 02910-5134
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DEN03560 Rhode Island

Profile Details

NPI number 1770178063
LBN Legal business name Hazelton, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2021
Last updated Jul 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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