HAGERTY & MAZZOLA D.D.S., INC (NPI# 1982699104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982699104 |
| Entity Type | Organization |
| Organization Name | HAGERTY & MAZZOLA D.D.S., INC |
| Other Organization Name | THE DENTAL DEPOT |
| Practice Address |
18 N 4th St Miamisburg OH 45342-2843 |
| Mailing Address |
321 N Broadway St Trotwood OH 45426-3507 |
| Practice Telephone | 9378668484 |
| Practice Fax Number | 9378668981 |
| Mailing Telephone | 9378371888 |
| Mailing Fax Number | 9378371886 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM JOSEPH HAGERTY (PRESIDENT/PARTNER) |
| Authorized Official Telephone | 9378371888 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19230 | OH | Dental Providers |
| Other Name | Type Code |
|---|---|
| The Dental Depot | Doing Business As Name - Organization |
| Street Address |
18 N 4TH ST |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689842510 | Robert L Mazzola | Dentist | 18 N 4th St, Miamisburg, OH 45342-2843 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1285834036 | Vosler Dental | Dentist | 1223 E Central Ave, Miamisburg, OH 45342-3544 | 2007-07-20 |
| 1578614137 | Syeda Malika | Dentist | 36 Fiesta Ln, Miamisburg, OH 45342-5301 | 2007-01-12 |
| 1790863132 | Gregg Riddle | Dentist | 922 E Central Ave, Miamisburg, OH 45342-2543 | 2006-11-02 |
| 1770507188 | Catherine Ann Lawler | Dentist | 8403 Byers Rd, Miamisburg, OH 45342-3723 | 2006-07-27 |
| 1629082748 | Michele L Botti | Dentist | 9100 Marketplace Dr, Miamisburg, OH 45342-4671 | 2006-07-27 |
| 1760496988 | David C. Hall | Dentist | 9100 Market Place Drive, Miamisburg, OH 45342 | 2006-07-27 |
| 1437648029 | Maurine Muthoni Kingori | Dentist | 8260 Springboro Pike, Miamisburg, OH 45342-3707 | 2018-05-09 |
| 1962775387 | Brad A. Vosler | Dentist | 1223 E Central Ave, Miamisburg, OH 45342-3544 | 2012-02-15 |
| 1821361247 | Paula P Vosler | Dentist | 1223 E Central Ave, Miamisburg, OH 45342-3544 | 2012-02-15 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
Please comment or provide details below to improve the information on HAGERTY & MAZZOLA D.D.S., INC.
| 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.