Robert D. Hazen D.D.S., P.C

LBN: Robert D. Hazen D.D.S., Pc
Robert D. Hazen D.D.S., P.C is an health care organization with primary practice located at 460 S 400 E , Bountiful UT 84010-4975. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Robert D. Hazen D.D.S., Pc can be contacted via phone (801) 295-5586, or through Hazen, Robert Dean via phone (801) 295-5586.

Contact Information

Primary practice address
460 S 400 E Bountiful UT 84010-4975
Phone: (801) 295-5586
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hazen, Robert Dean Doctor of Dental Surgery (DDS)
Phone: (801) 295-5586

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 130257-9921 Utah

Profile Details

NPI number 1518089960
LBN Legal business name Robert D. Hazen D.D.S., Pc
DBA Doing business as Robert D. Hazen D.D.S., P.C
Authorized official Hazen, Robert Dean Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518089960 NPPES
Utah Other 130257-9921 STATE LICENSE INFORMATION

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