Active NPI
Mary E. Hazlett, DMD
- Dentist
- Quitman, TX
National Provider Identifier
1376470229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42293
- Practice address
- 208 S Main St
Quitman, TX 75783-2548 - Phone
- (903) 763-4441
- NPI assigned
- May 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42293 | TX | Primary |
Addresses
Primary practice location
208 S Main St
Quitman, TX 75783-2548
Mailing address
15 Hogan St
Sulphur Springs, TX 75482-6122
Phone (208) 954-9426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42293 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quitman Hometown Dental | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Quitman, TX
- NPI 1578378865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1376470229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HOGAN ST",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754826122",
"telephone_number": "208-954-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S MAIN ST",
"city": "QUITMAN",
"state": "TX",
"postal_code": "757832548",
"telephone_number": "903-763-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZLETT",
"first_name": "MARY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quitman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.