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Active NPI 1265623417 Individual Practitioner Male Practitioner

Dr. David Mark Hazzouri , DMD

Dentist • Scranton, PA

Professional Overview & Biography Verified Profile Summary

Dr. David Hazzouri, DMD is a registered healthcare professional specializing in Dentist in Scranton, PA. Practice services are available at 211 S. 7TH AVE. under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, oral removal of upper jaw bone growth or cyst, removal of growth or cyst of lower jaw bone through mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

211 S. 7th Ave.

Scranton, PA 18505

Telephone 5709616030
Fax 5709616030
Associated Practice Facility / Clinic
🏢 Reconstructive Dentistry, Llc Facility NPI 1588019095

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Scranton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Scranton, PA (3554 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
18.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
19 18 $65.00 $53.33

Medical Specialties & State Licenses

CMS Verified: 2022-04-20
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS027711L

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

State License PA DS027711L

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. William Marchese , DDS MS

Dentist - Periodontics

NPI 1528076460

DDSMS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 20, 2022

Registered at 211 S. 7TH AVE., SCRANTON, PA 18505 (Tel: 5709616030)

📍
Updated Business Mailing Address April 20, 2022

Registered at 211 S. 7TH AVE., SCRANTON, PA 18505 (Tel: 5709616030)

NPI Profile Active August 05, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2007

Registered at 327 NORTH WASHINGTON AVENUE, SCRANTON PROFESSIONAL ARTS BUILDING SUITE 609, SCRANTON, PA 18503 (Tel: 5709616030)

📍
Updated Business Mailing Address August 05, 2007

Registered at 327 NORTH WASHINGTON AVENUE, SCRANTON PROFESSIONAL ARTS BUILDING SUITE 609, SCRANTON, PA 18503 (Tel: 5709616030)

👤
Provider Name / Credentials Updated August 05, 2007

Recorded as DAVID HAZZOURI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2007

Dentist (License #DS027711L in PA)

🟢
Initial NPI Registration & Enumeration August 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265623417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: April 20, 2022
Sole Proprietor: No

Mailing Address

211 S. 7th Ave.

Scranton, PA 18505

Phone: 5709616030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.