Hagerty & Mazzola D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19230 Issued in OH

Legal business name

HAGERTY & MAZZOLA D.D.S., INC

Doing business as

The Dental Depot

Practice address

18 N 4TH St
Miamisburg, OH 45342-2843

Phone

(937) 866-8484

Fax

(937) 866-8981

NPI assigned

Sep 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. William Joseph Hagerty, D.D.S.

Title

President/Partner

Phone

(937) 837-1888

Specialties & licenses 1

Addresses

Other names 1

• The Dental Depot Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert L Mazzola, D.D.S.

  • General Practice Dentistry
  • Miamisburg, OH
  • NPI 1689842510
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982699104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N BROADWAY ST",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454263507",
            "telephone_number": "937-837-1888",
            "fax_number": "937-837-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N 4TH ST",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422843",
            "telephone_number": "937-866-8484",
            "fax_number": "937-866-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGERTY & MAZZOLA D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGERTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "937-837-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Depot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Grills
• Jerod B Grogg, PA
• Stephanie Renee Habermehl, BCBA
• Jourdan Hagedorn, FNP-C
• Randi Hagen, PMHNP
• Shelly Renee Haggard
• David C. Hall, D.D.S.
• Tara Hall
• Michelle Halton, CPNP
• Taylor Hamilton, RBT

• General Practice Dentistry in Miamisburg, OH
• Providers in Miamisburg, 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 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.