Mark a . & Michael D. Hablitzel, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15756 Issued in OH

Legal business name

MARK A . & MICHAEL D. HABLITZEL, D.D.S., INC.

Practice address

304 1/2 Madison St
Port Clinton, OH 43452-1921

Phone

(419) 734-2175

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Hablitzel, D.D.S.

Title

Dentist

Phone

(419) 734-2175

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1205939196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 1/2 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521921",
            "telephone_number": "419-734-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 1/2 MADISON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521921",
            "telephone_number": "419-734-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A . & MICHAEL D. HABLITZEL, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "HABLITZEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "419-734-2175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15756",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "013885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Eye Care of Port Clinton LLC
• Magruder Medical Group LTD
• Anissa Natalia Mahmood, M.S., P.C.
• Lisa Maletich
• Olga Marez
• Richard Ronald Maruschak, DDS
• Samantha J Mason, DO
• Morgan Ashley Maxwell, CT
• Joan A McAuliffe, LPN
• Ian McBride, R.PH.

• General Practice Dentistry in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.