Provider Demographics
NPI:1881849578
Name:GEORGE E. HITZEL, D.D.S.,P.A.
Entity Type:Organization
Organization Name:GEORGE E. HITZEL, D.D.S.,P.A.
Other - Org Name:HITZEL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-535-3233
Mailing Address - Street 1:1330 S BELCHER RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3713
Mailing Address - Country:US
Mailing Address - Phone:727-535-3233
Mailing Address - Fax:727-535-1185
Practice Address - Street 1:1330 S BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-3713
Practice Address - Country:US
Practice Address - Phone:727-535-3233
Practice Address - Fax:727-535-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-119981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1063545242OtherINDIVIDUAL NPI - DR. HITZEL
FL1871719807OtherNPI - DR. MILNE