MOUNTAINEER ORTHODONTICS, PLLC
NPI 1356560346
Dentist - Orthodontics and Dentofacial Orthopedics in Bridgeport, WV

Active since April 25, 2007
112 HILL ST, BRIDGEPORT, WV 26330(304) 842-5211(304) 842-1163 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2025, Apr 12, 2024, Aug 22, 2020 (3 updates tracked since 2020).

  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics

About MOUNTAINEER ORTHODONTICS, PLLC

This page provides the complete NPI Profile along with additional information for Mountaineer Orthodontics, Pllc, a provider established in Bridgeport, West Virginia operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1356560346 assigned on April 2007. The practitioner's primary taxonomy code is 1223X0400X with license number 2285 (WV). The provider is registered as an organization and their NPI record was last updated one year ago. Mountaineer Orthodontics, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Michael A Hazey Iii D.d.s., M.s. (Owner)

NPI
1356560346 Verify this NPI
Provider Name
MOUNTAINEER ORTHODONTICS, PLLC
Other Name Type
(6)
Entity Type
Organization
Location Address
112 HILL ST BRIDGEPORT, WV 26330
Location Phone
(304) 842-5211
Location Fax
(304) 842-1163
Mailing Address
112 HILL ST BRIDGEPORT, WV 26330
Mailing Phone
(304) 842-5211
Mailing Fax
(304) 842-1163
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2007
Last Update Date
09-12-2025
Code Navigator

A dentist like Mountaineer Orthodontics, Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
License No.
2285
License State
WV
Taxonomy Description
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL A HAZEY III D.D.S., M.S.

Authorized Official Title
OWNER
Authorized Official Phone
(304) 842-5211

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
177-065-0012OTHER (01)WVNPI NUMBER
163-924-6887OTHER (01)WVNPI NUMBER
165-944-8991OTHER (01)WVNPI NUMBER

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
112 HILL ST
BRIDGEPORT, WV 26330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356560346, enumerated as an "organization" on April 25, 2007.

The provider is located at 112 HILL ST BRIDGEPORT, WV 26330 and the phone number is (304) 842-5211.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.