HAZELTON FAMILY DENTISTRY, PA (NPI# 1083874143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083874143 |
| Entity Type | Organization |
| Organization Name | HAZELTON FAMILY DENTISTRY, PA |
| Practice Address |
677 Anne St Nw Ste F Bemidji MN 56601-4390 |
| Mailing Address |
Po Box 397 Bemidji MN 56619-0397 |
| Practice Telephone | 2183338668 |
| Mailing Telephone | 2183338668 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | ZACHARY DAVID HAZELTON (DENTIST) |
| Authorized Official Telephone | 2183338668 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D12566 | MN | Ambulatory Health Care Facilities |
| Street Address |
677 ANNE ST NW STE F |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-4390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316012263 | Rem North Star, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 677 Anne St Nw, Suite B, Bemidji, MN 56601-4390 | 2006-11-22 |
| 1376840694 | Holly A Graber | Physical Therapy Assistant | 677 Anne St Nw, Suite E, Bemidji, MN 56601-4390 | 2011-02-23 |
| 1487967402 | Deanne Marie Kivi | Occupational Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2010-07-19 |
| 1063640647 | Andrea Lynn Brodina | Physical Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2009-06-23 |
| 1932335288 | Donald Joseph Kapaun Jr. | Occupational Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2009-06-01 |
| 1942443635 | Advantage Audiology & Hearing Healthcare, LLC | Audiologist-Hearing Aid Fitter | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2009-04-12 |
| 1184884231 | Zachary David Hazelton | Dentist | 677 Anne St Nw, Ste F, Bemidji, MN 56601-4390 | 2008-06-12 |
| 1518139120 | Speech Place LLC | Speech-Language Pathologist | 677 Anne St Nw, Suite E, Bemidji, MN 56601-4390 | 2008-03-24 |
| 1366635716 | Cheri Lynne Ware | Physical Therapist | 677 Anne St Nw, Bemidji, MN 56601-4390 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344894 | Black Bear Family Dental PC | Clinic/Center | 1628 30th St Nw, Bemidji, MN 56601-4690 | 2018-11-06 |
| 1982156147 | Great River Dentistry of Bemidji, Pllc | Clinic/Center | 3622 Moberg Dr Nw, Bemidji, MN 56601-5644 | 2016-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
| 1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
| 1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
| 1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
| 1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
| 1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.