person
Dr. Paul Anthony Fugazzotto, DDS
Periodontist in Milton, Massachusetts
NPI 1235254681

Paul Anthony Fugazzotto is a Periodontist based in Milton, MA and is specialized in Periodontics. Paul Anthony Fugazzotto practices in Milton, MA and has the professional credentials of DDS. The NPI Number for Paul Anthony Fugazzotto is 1235254681 and holds a License No. 14401 (Massachusetts).

The current practice location address for Paul Anthony Fugazzotto is 25 High St, Milton, MA and can be reached out via phone at 671-696-7257 and via fax at 617-696-6635.

Location: 25 High St, Milton, MA, 02186-3426
person
Provider Profile Details
NPI Number
1235254681
Provider Name
Paul Anthony Fugazzotto
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
25 High St, Milton, MA, 02186-3426
Phone Number
671-696-7257
Fax Number
617-696-6635
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X10364 01 MA BLUE CROSS & BLUE SHIELD
X31025 01 MA HARVARD PILGRIM HEALTH CA
institution
Provider Business Practice Location Address Details
Address
25 High St
City
State
Zip
02186-3426
Phone Number
671-696-7257
Fax Number
617-696-6635
person
Provider Business Mailing Address Details
Address
25 High St
City
State
Zip
02186-3426
Phone Number
671-696-7257
Fax Number
617-696-6635
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
14401 (Massachusetts)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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