DR. THOMAS JOHN MAZZUCHELLI D.M.D. NPI 1003088592

NPI Information

DR. Thomas John Mazzuchelli, D.M.D. is a general practice dentist in Marietta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Thomas John Mazzuchelli, D.M.D. NPI is 1003088592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

58 SHAWNEE LN
MARIETTA, GA
ZIP 30067-316
Phone: (770) 973-6520

The NPI 1003088592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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