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Contact Information

DALE R HAZELBAKER, DDS
725 N LIMESTONE ST
SPRINGFIELD, OH45503-3615
 Phone: 937-325-7031
 Fax: 937-322-7339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DALE R HAZELBAKER · (Male)

NPI Number 1013069053
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/18/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 12024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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