NPI
Brent Michael Hazlewood
NPI 1851709331
Read from the NPPES registry on October 26, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2014-07-28
- Last updated
- 2022-08-15
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Specialties
Licenses
- License MI
- 2901021193
Location
- Practice location
- 12662 Riley St Ste 130
- City
- Holland MI
- Postal code
- 49424-8023
- Phone
- (616) 399-6811
- Fax
- (616) 399-6812
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Endodontists in Holland, MI. 7 with this primary taxonomy in the public file.
Other NPIs in Holland, MI. 2,680 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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