| Clayton G. Hazelton Dmd Pc | |
|
1029 Reservoir Ave Cranston RI 02910-5134 | |
| (401) 943-1234 | |
| (401) 943-1297 |
| Full Name | Clayton G. Hazelton Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1029 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Clayton G Hazelton (PRESIDENT) |
| Authorized Official Contact | 4019431234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton G. Hazelton Dmd Pc 1029 Reservoir Ave Cranston RI 02910-5134 Ph: (401) 943-1234 | Clayton G. Hazelton Dmd Pc 1029 Reservoir Ave Cranston RI 02910-5134 Ph: (401) 943-1234 |
| NPI Number | 1508900051 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 06/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508900051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN2373 (Rhode Island) | Primary |
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