Healthcare Provider Details

I. General information

NPI: 1801700240
Provider Name (Legal Business Name): HAZELRIGG & PITT FAMILY DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 WASHINGTON AVE
EVANSVILLE IN
47714-2636
US

IV. Provider business mailing address

3001 WASHINGTON AVE
EVANSVILLE IN
47714-2636
US

V. Phone/Fax

Practice location:
  • Phone: 812-476-2414
  • Fax: 812-213-7002
Mailing address:
  • Phone: 812-476-2414
  • Fax: 812-213-7002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DAVID HAZELRIGG
Title or Position: DENTIST
Credential: DMD
Phone: 812-476-2414