ZACHARY DAVID HAZELTON (NPI# 1184884231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184884231 |
| Entity Type | Individual |
| Full Name | ZACHARY DAVID HAZELTON |
| Credential | D.D.S. |
| 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 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D12566 | MN | Dental Providers |
| 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 |
| 1083874143 | Hazelton Family Dentistry, Pa | Clinic/Center | 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184885386 | Jonetta H Scotland | Dentist | 430 25th St Nw, Bemidji, MN 56601-2486 | 2008-06-19 |
| 1477751816 | Laura Ann Schwindt | Dentist | 3622 Moberg Drive, Bemidji, MN 56601 | 2007-07-06 |
| 1194944876 | Veronica Lin Cooper | Dentist | 1628 30th St Nw, Bemidji, MN 56601-4690 | 2007-04-24 |
| 1902973282 | Lee Conrad Scotland | Dentist | 430 25th Street Nw, Bemidji, MN 56601 | 2006-11-29 |
| 1881186625 | Ashley Kay Metcalf | Dentist | 1900 Division St W Unit 2, Bemidji, MN 56601-6397 | 2018-06-06 |
| 1013447069 | Trevor Andrews | Dentist | 430 25th St Nw, Bemidji, MN 56601-2486 | 2017-06-13 |
| 1841729472 | Terry David Schmitt | Dentist | 1311 Bemidji Ave N, Bemidji, MN 56601-3811 | 2017-06-07 |
| 1881031946 | Blake Daniel Smith | Dentist | 2600 Bemidji Ave N, Bemidji, MN 56601-2324 | 2013-05-30 |
| 1093094039 | Baret Williams-furfaro | Dentist | 3622 Moberg Dr Nw, Bemidji, MN 56601-5644 | 2011-08-09 |
| 1124313143 | Katie Louise Peterson | Dentist | 1405 Anne St Nw, Northern Dental Access Center, Bemidji, MN 56601-5113 | 2011-06-17 |
| Find all providers in BEMIDJI | ||||
Please comment or provide details below to improve the information on ZACHARY DAVID HAZELTON.
| 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.