Active NPIIndividual providerSole proprietor

Dr. Gregory P Hatzis, MD, DDS

Dentist, Oral and Maxillofacial Surgery in Newark, New Jersey

NPI Number1639274590
Practice location
110 Bergen St, Rm B854, Newark, NJ 07103-2495
Fax
973-972-3689
Last updated
July 9, 2016

Gregory P Hatzis is a Dentist, Oral and Maxillofacial Surgery based in Newark, NJ. Gregory P Hatzis practices in Newark, NJ and has the professional credentials of MD, DDS. The NPI Number for Gregory P Hatzis is 1639274590 and holds a License No. L9730 (TX). The current practice location address for Gregory P Hatzis is 110 Bergen St, Rm B854, Newark, NJ 07103-2495 and can be reached out via phone at 973-972-2444 and via fax at 973-972-3689.

Provider Profile Details

NPI Number
1639274590
Provider Name
Gregory P Hatzis
Credential
MD, DDS
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Rm B854, Newark, NJ 07103-2495
Phone Number
973-972-2444
Fax Number
973-972-3689
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2006
Last Update Date
July 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Rm B854
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
973-972-2444
Fax Number
973-972-3689
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
110 Bergen St
Rm B854
Newark, NJ 07103-2495
City
Newark
State
NJ
Zip
07103-2495
Phone Number
973-972-2444
Fax Number
973-972-3689

License Information

License Number (1)
L9730
License State (1)
TX
Taxonomy (1)
Oral & Maxillofacial Surgery · 204E00000X
License Number (2)
23172
License State (2)
TX
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (3)
22DI02319600
License State (3)
NJ
Taxonomy (3)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gregory P Hatzis, MD, DDS?

The NPI number of Dr. Gregory P Hatzis, MD, DDS is 1639274590. It was assigned on September 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gregory P Hatzis, MD, DDS?

Dr. Gregory P Hatzis, MD, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in TX under license number L9730.

Where does Dr. Gregory P Hatzis, MD, DDS practice?

The practice location is 110 Bergen St, Rm B854, Newark, NJ 07103-2495. The office can be reached at 973-972-2444 (phone) or 973-972-3689 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639274590 directly on the NPPES registry website.

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