Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountaineer Orthodontics, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1356560346

Mountaineer Orthodontics, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

112 Hill St
Bridgeport, WV 26330-1756
Phone: (304) 842-5211
Fax: (304) 842-1163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 2285 (WV)

Record details

NPI number1356560346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Hazey — Owner · (304) 842-5211
Other names Drs. Lacy, Weidman & Hazey Iii; Drs. Lacy, Weidman & Hazey Iii; Drs. Weidman And Hazey Iii, Pllc
NPI enumeratedApril 25, 2007
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address112 Hill St, Bridgeport, WV 26330-1756

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