National Provider Identifier

Tawfiq Hazboun

Tawfiq Hazboun is listed in the NPPES registry with a primary specialty of Prosthodontics in Orchard Park, NY and a listed phone number of (716) 662-7229.

NPI 1356658942Orchard Park, NYProsthodontics

Profile Overview

NPI
1356658942
Provider Type
Individual
Primary Specialty
Prosthodontics
Enumeration Date
September 03, 2010
Last Updated
November 28, 2023

Practice Location

  • 6435 Webster RD
  • Orchard Park, NY 14127-1835

Phone: (716) 662-7229

Mailing Address

  • Nas Jacksonville, Building 54
  • Bureau Of Medicine & Surgery Detachment Jacksonville
  • Jacksonville, FL 32212-0140

Specialties

  • Prosthodontics (1223P0700X)
  • Dentist (122300000X)
Full Record
NPI
1356658942
Entity Type
Individual
Last Name
Hazboun
First Name
Tawfiq
Mailing Street Address
Nas Jacksonville, Building 54
Mailing Address Line 2
Bureau Of Medicine & Surgery Detachment Jacksonville
Mailing City
Jacksonville
Mailing State
FL
Mailing ZIP Code
32212-0140
Mailing Country
US
Practice Street Address
6435 Webster RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1835
Practice Country
US
Practice Phone
(716) 662-7229
Enumeration Date
September 03, 2010
Last Updated
November 28, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
November 28, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Prosthodontics (1223P0700X), Dentist (122300000X)