GILLIAN ALEXANDER HAZBOUN (NPI# 1063821346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063821346 |
| Entity Type | Individual |
| Full Name | GILLIAN ALEXANDER HAZBOUN |
| Credential | DDS, MS, FACP |
| Practice Address |
Psc 819 Box 18 Fpo AE 09645-0001 |
| Practice Telephone | 3147273733 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS039462 | PA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
057173 | NY | Dental Providers |
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
DS039462 | PA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
057173 | NY | Dental Providers |
| Street Address |
PSC 819 BOX 18 |
| City | FPO |
| State | AE |
| Zip Code | 09645-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326026659 | Anne Sinks Kuskowski | Pediatrics | Psc 819 Box 18, Us Naval Hospital Rota, Fpo, AE 09645-0001 | 2006-01-06 |
| 1659914968 | Mackenzie R Day | Occupational Therapist | Psc 819 Box 18, Fpo, AE 09645-0001 | 2019-10-21 |
| 1932575818 | Eric Tobin | Nurse Practitioner | Psc 819 Box 18, Fpo, AE 09645-0018 | 2015-08-14 |
| 1538582176 | Jenelle Vella-burton | Occupational Therapist | Psc 819 Box 18, Fpo, AE 09645-0001 | 2014-02-03 |
| 1639431034 | Jennifer Turner | Registered Nurse | Psc 819 Box 18, Fpo, AE 09645-0001 | 2012-06-12 |
| 1083996169 | Alan Michael Cantrell | Optometrist | Psc 819 Box 18, Fpo, AE 09645-0001 | 2011-09-14 |
| 1326209321 | Tara Ann O'connell | Family Medicine | Psc 819 Box 18, Fpo, AE 09645-0001 | 2008-06-23 |
| 1053598839 | Shannon Marie Freeman | Dietitian, Registered | Psc 819 Box 18, Fpo, AE 09645 | 2008-01-24 |
| 1033278809 | Kennett J. Moses | Orthopaedic Surgery | Psc 819 Box 18, U.S. Naval Hospital Rota, Fpo, AE 09645-0001 | 2006-12-08 |
| 1780623108 | Naval Hospital Rota | Military Hospital | Psc 819 Box 18, Fpo, AE 09645-0018 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336497734 | Charles M Geiger | Military Health Care Provider | Navl Hospital Rota Psc 819, Box 18, Fpo, AE 09645 | 2012-08-16 |
| 1578751749 | Travis J Peterson | Nurse Practitioner | Psc 819, Box 18 - 219, Fpo, AE 09645 | 2007-10-12 |
| 1962597062 | Tara Jean Zieber | Emergency Medicine | Psc 819 Box 18 #194, Fpo, AE 09645 | 2006-10-04 |
| 1295704625 | Todd Wayne Cahoon | Dentist | Psc 819 Box 18-20, Fpo, AE 09645 | 2006-03-17 |
| 1003884057 | David Minchin | Military Health Care Provider | Psc 819, Box 18- 50, Fpo, AE 09645 | 2006-03-08 |
| 1053383380 | Bryan S. Buchanan | Urology | Psc 819 Box 18-100, Fpo, AE 09645 | 2006-02-02 |
| 1326019290 | Robert L. Dennison | Military Health Care Provider | Psc 819 Box 18 0022, Fpo, AE 09645 | 2006-01-30 |
| 1972573574 | Terry Halbritter | Nurse Practitioner | Naval Hospital Psc 819 Box 18-125, Fpo, AE 09645 | 2006-01-25 |
| 1558341404 | Jody Alan Dreyer | Pharmacist | Psc 819, Box 18, Fpo, AE 09645 | 2006-01-18 |
| 1760461701 | Leslie Carol Fox | Psychologist | Psc 819 Box 50, Fpo, AE 09645 | 2006-01-10 |
| Find all providers in zip 09645 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497132393 | Diane Vo | Dentist | 3d Den Bn 3mlg Det H, Unit 38452 Box 259, Fpo, AP 96385 | 2015-04-29 |
| 1629321278 | Christopher David Dindal | Dentist | Psc 558 Box 4177, Fpo, AP 96375-4100 | 2012-10-19 |
| 1376523365 | Donald Alan Lonergan | Dentist | Uss Washington, Dental - Box 66, Fpo, AE 09550-2873 | 2006-01-18 |
| 1740267517 | Michael Roderick Brenyo | Dentist | Psc 557, Box 1207, Fpo, AP 96379-1207 | 2005-12-22 |
| 1356341580 | Francisco Xavier Veray Iv | Dentist | Psc 827 Box526, Fpo, GRICIGNANO AE | 2005-07-29 |
| 1730184771 | Johvin Perry | Dentist | U.S. Naval Hospital Yokosuka, Psc 475 Box 1, Fpo, AP 96350-9998 | 2005-06-16 |
| 1245205863 | Marilyn Eugenia Braddock | Dentist | Uss George Washington Cvn 73, Dental Dept., Box 66, Fpo, AE 09550-2873 | 2006-02-17 |
| 1558347435 | Peter Barndt | Dentist | Us Naval Hospital Yokosuka, Fpo, AP 96350 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013616 | Julio Gonzales | Dentist | Cdr Us Army Dental Activity, Cmr 489 Box 2604, Apo, AE 09128 | 2006-02-21 |
| 1023075231 | Minaxi I Patel | Dentist | Unit 26610, Wuerzburg Dental Activity Credentials Office, Apo, AE 09244 | 2006-05-01 |
| 1346238102 | David F Pierson | Dentist | Unit 5210, Box 230, Apo, AE 09461 | 2005-10-06 |
| 1164419016 | Jose Dejesus Villalobos | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-05 |
| 1124015383 | Paul Edward Schleier | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.