Dr. Amy Hazelwood, DMD
Dentist, General Practice in Lafayette, CO. Individual provider (NPI-1).
NPI number1457710568
StatusActive
Last updated in NPPESMar 1, 2016
Details
- NPI
- 1457710568
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy Hazelwood
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2016
- Last updated
- Mar 1, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN.00202756 | CO | Yes |
| 1223G0001X | Dentist, General Practice | 2016000785 | MO |
Practice location
535 W South Boulder RdSuite 200
Lafayette, CO 80026-2097
Phone 260-336-4220
Mailing address
715 S Lafayette Dr212
Lafayette, CO 80026-3581
Phone 618-420-9314
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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