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Contact Information

BRENT M HAZLEWOOD, DDS
12662 RILEY ST STE 130
HOLLAND, MI49424-8023
 Phone: 616-399-6811
 Fax: 616-399-6812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRENT M HAZLEWOOD · (Male)

NPI Number 1851709331
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/28/2014
Last updated 08/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 2901021193
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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