Lyndsey Rae Hazen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12011226A Issued in IN

Practice address

358 Lindsay St # a
Alcoa, TN 37701-2412

Phone

(865) 982-6680

Fax

(865) 984-7536

NPI assigned

Sep 3, 2008

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1639327604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W CHURCH ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453285",
            "telephone_number": "423-798-1749",
            "fax_number": "423-798-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 LINDSAY ST # A",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012412",
            "telephone_number": "865-982-6680",
            "fax_number": "865-984-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "LYNDSEY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011226A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Harrison
• Linzee Devan Hartley, FNP-C
• Alexander Thomas Hayes, FNP
• Constance L Hayes, DNP, APRNC, FNP-C
• Mindy L Hazard, FNP-BC
• James Matthew Hegarty, PHARMD
• Jerome J Heiny, MD
• Daniel Helton, FNP-BC
• Callyn Henry, PA-C
• Xamaera Sharece Henry, CNA

• Dentist in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.