Individual provider · Type 1 NPI

Charles Owen Hazelrigg, DDS

Pediatric Dentistry · Indianapolis, IN

NPI number 1922127612 Active

Practice location

1121 W Michigan St
Indianapolis, IN 46202-5211

Call (317) 274-8111 Map

Mailing address

5057 Woodfield Dr
Carmel, IN 46033-9424

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X12006760A (IN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1922127612

Charles Owen Hazelrigg, DDS's National Provider Identifier is 1922127612, issued on Mar 27, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.