DR. GREGORY P HATZIS M.D. D.D.S. NPI 1639274590

NPI Information

NPI: 1639274590
Provider Name: DR. GREGORY P HATZIS, M.D., D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
110 BERGEN ST
RM B854
NEWARK, NJ
ZIP 07103
Phone: (973) 972-2444
Get Directions

DR. Gregory P Hatzis, M.D., D.D.S. is an oral and maxillofacial surgery dentist in Newark, NJ. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Gregory P Hatzis, M.D., D.D.S. NPI is 1639274590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 BERGEN ST
RM B854
NEWARK, NJ
ZIP 07103-495
Phone: (973) 972-2444
Fax: (973) 972-3689

The NPI 1639274590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204E00000X	Oral & Maxillofacial Surgery		L9730	TEXAS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	23172	TEXAS	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	22DI02319600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	191226305	OTHER	TEXAS	MEDICAID (DENTAL)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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