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

Brandon Hazelton

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770178063

Brandon Hazelton is a Student in an Organized Health Care Education/Training Program in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2021.

Licensed in
RI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1029 Reservoir Ave
Cranston, RI 02910-5134
Phone: (401) 943-1234
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN03560 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770178063
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address1029 Reservoir Ave, Cranston, RI 02910-5134

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