IndividualActive
Douglas Hazel, DDS
NPI 1205043064 · Dentist · Mishawaka, IN
Douglas Hazel, DDS is a Dentist provider in Mishawaka, IN (NPI 1205043064).
Provider details
- NPI number
- 1205043064
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12006605A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
544 Lincoln Way W
Mishawaka, IN 46544-1844
Phone: (574) 255-6052
Approximate (ZIP-level) locationGet directions
Mailing address
544 Lincoln Way W
Mishawaka, IN 46544-1844
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Douglas Hazel's NPI number?
- Douglas Hazel's National Provider Identifier (NPI) is 1205043064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Hazel's specialty?
- Douglas Hazel is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Douglas Hazel located?
- Douglas Hazel's practice location on file with NPPES is 544 Lincoln Way W, Mishawaka, IN 46544-1844.
- What is Douglas Hazel's phone number?
- The practice phone number listed in the NPPES registry for Douglas Hazel is (574) 255-6052.
- Is Douglas Hazel's NPI active?
- Yes — Douglas Hazel's NPI (1205043064) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.