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DR. DAVID MARK HAZZOURI SR. DMD
NPI 1265623417
Dentist in Scranton, PA

Active since August 05, 2007Opted out of Medicare · through Jan 1, 2027
211 S. 7TH AVE., SCRANTON, PA 18505(570) 961-6030(570) 961-6030 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Mark Hazzouri Sr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID MARK HAZZOURI SR. DMD (NPI 1265623417) is an individual dentist in Scranton, Pennsylvania, licensed in Pennsylvania (DS027711L) and active in the NPI registry since August 2007. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1265623417
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID MARK HAZZOURI SR.Credential: DMD
Location Address211 S. 7TH AVE.Scranton, PA 18505
Mailing Address211 S. 7th Ave.Scranton, PA 18505 · (570) 961-6030 · Fax (570) 961-6030
Phone(570) 961-6030
Fax(570) 961-6030
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1265623417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS027711L
Definition
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.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License DS027711L (PA)
211 S. 7TH AVE., Scranton, PA 18505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Mark Hazzouri Sr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services18 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Hazzouri's NPI number?

The NPI number for David Hazzouri is 1265623417. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is David Hazzouri located?

David Hazzouri practices at 211 S. 7th Ave., Scranton, PA 18505. The listed phone number is (570) 961-6030.

What is David Hazzouri's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Hazzouri enrolled in Medicare?

No. David Hazzouri has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for David Hazzouri was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.