Children'S Dentistry of Hazlet P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI017432 Issued in NJ

Legal business name

CHILDREN'S DENTISTRY OF HAZLET P.A.

Practice address

883 Poole Ave
Hazlet, NJ 07730-2040

Phone

(732) 739-8620

Fax

(732) 739-8621

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariel Wolcott

Title

Cred Coordinator

Phone

(732) 914-1039

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174662712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 POOLE AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302040",
            "telephone_number": "732-739-8620",
            "fax_number": "732-739-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 POOLE AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302040",
            "telephone_number": "732-739-8620",
            "fax_number": "732-739-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF HAZLET P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLCOTT",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "CRED COORDINATOR",
        "authorized_official_telephone_number": "732-914-1039"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Spatz
• Robert P. Chen, MD
• Roger L Chen, M.D.
• Cheryl Dragotti, Inc.
• Cristina Chiacchiero
• Chiropractic Family Health Center
• Joon Seok Cho, DDS
• Chronic Pain Solutions, LLC
• Alexandra Ellen Chrystal
• Douglas Walter Chudzik, MD

• General Practice Dentistry in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.