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Hunter Lamkin Hazle
General Practice Dentistry in Novi, Michigan
NPI 1255851291

Hunter Lamkin Hazle is a General Practice Dentistry based in Novi, MI and is specialized in General Practice. Hunter Lamkin Hazle practices in Novi, MI. The NPI Number for Hunter Lamkin Hazle is 1255851291 and holds a License No. 2901601455 (Michigan).

The current practice location address for Hunter Lamkin Hazle is 43025 W 12 Mile Rd, Novi, MI and can be reached out via phone at 502-774-4401. You can also correspond with Hunter Lamkin Hazle through the mailing address at 43025 W 12 MILE RD, NOVI, MI - 48377-3012 (mailing address contact number: 502-774-4401).

Location: 43025 W 12 Mile Rd, Novi, MI, 48377-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255851291
Provider Name
Hunter Lamkin Hazle
Credential
Provider Entity Type
Individual
Gender
Male
Address
43025 W 12 Mile Rd, Novi, MI, 48377-3012
Phone Number
502-774-4401
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2901601455 01 MI MI SPECIALTY LICENSE - PEDIATRIC DENTISTRY
9940 01 KY KY DENTAL LICENSE
2901601455 01 MI MI DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
43025 W 12 Mile Rd
City
Novi
State
Michigan
Zip
48377-3012
Phone Number
502-774-4401
Fax Number
person
Provider Business Mailing Address Details
Address
43025 W 12 Mile Rd
City
Novi
State
Michigan
Zip
48377-3012
Phone Number
502-774-4401
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9940 (Kentucky)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901601455 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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