Hazel L Williamson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

10846242-9924 Issued in UT

Practice address

308 Crossroads Blvd.
Saratoga Springs, UT 84045

Phone

(801) 691-5900

NPI assigned

May 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stonehaven Dental - Saratoga Springs LLC

  • General Practice Dentistry
  • Saratoga Springs, UT
  • NPI 1467814624
  NPD (past)

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1861139594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CROSSROADS BLVD.",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-691-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CROSSROADS BLVD.",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-691-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "HAZEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-14",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "10846242-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trever Whiting, ATC/L
• Jennifer Wight
• Grace Wilcox
• Michelle M Wilcox, FNP-C
• Marcia Lynn Williams
• Mathew Withers, PH.D., LMFT
• Vereena Woffinden
• Cecily Wolfe
• Bristol Wood
• Jaxson Wood

• Dentist in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.