GEORGE FRED HAZELWOOD III (NPI# 1538261961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538261961 |
| Entity Type | Individual |
| Full Name | GEORGE FRED HAZELWOOD III |
| Other Name | G FRED HAZELWOOD III |
| Credential | DDS |
| Practice Address |
736 E Oak St Oakland MD 21550-1615 |
| Practice Telephone | 3013349288 |
| Practice Fax Number | 3013345471 |
| Mailing Telephone | 3013349288 |
| Mailing Fax Number | 3013345471 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | MD8301 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 3264 | 01 | |
| UNITED HEALTH CARE | 34571 | 01 | |
| UNITED CONCORDIA | 850897 | 01 | |
| CIGNA | D103088 | 01 | |
| MAMSI | 296936 | 01 |
| Street Address |
736 E OAK ST |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121366 | Stephanie Gordon | Dentist | 736 E Oak St, Oakland, MD 21550-1615 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| 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 |
|---|---|---|---|---|
| 1346862166 | Tiffany L Sum | Dentist | 1411 E 31st St Bldg E2, Oakland, CA 94602-1092 | 2020-05-14 |
| 1427607910 | Karen Chong | Dentist | 3040 E 9th St Ste D, Oakland, CA 94601-2938 | 2019-09-06 |
| 1548817323 | Dr. Choi, Dmd, Inc. | Dentist | 3511 International Blvd, Oakland, CA 94601-3521 | 2019-08-26 |
| 1447818760 | Eric Daniel Deschenes | Dentist | 6200 Antioch St Ste 201, Oakland, CA 94611-2954 | 2019-06-01 |
| 1154801439 | Tao Zhou | Dentist | 125 2nd St Apt 806, Oakland, CA 94607-4568 | 2018-08-16 |
| 1568957157 | Carmen Ruth | Dentist | 14710 Tn-194, Oakland, TN 38060 | 2018-06-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1093233454 | Scott Yoo Dds Dental Corp | Dentist | 2710 Telegraph Ave Ste 250, Oakland, CA 94612-1776 | 2017-09-06 |
| 1093246795 | Said Jalil Sadri | Dentist | 5939 La Salle Ave, Oakland, CA 94611-3225 | 2017-03-23 |
| 1841651635 | Phillip Wayne Olrich | Dentist | 407 41st St, Oakland, CA 94609-2510 | 2016-03-08 |
| Find all providers in OAKLAND | ||||
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| 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.