IndividualActive
Michael Hazuda, D.M.D.
NPI 1629124771 · Dentist · Wilmington, DE
Provider details
- NPI number
- 1629124771
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 915 (DE)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
5301 Limestone Rd
Suite #212
Wilmington, DE 19808-1250
Phone: (302) 239-8230
Fax: (302) 239-8249
Street-level locationGet directions
Mailing address
5301 Limestone Rd
Wilmington, DE 19808-1250
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 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.