Physician Compare National (NPI:1265623417)

HEALTHCARE PROVIDER: DAVID MARK HAZZOURI SR. DMD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265623417
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890019186
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150114001788
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAZZOURI
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	MARK
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	327 N WASHINGTON AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 609
	Group Practice or individual's line 2 address
City	SCRANTON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	185031539
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5709616030
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y