Active NPIIndividual providerSole proprietor

Dr. Paul A Fugazzotto, DDS

Dentist, Periodontics in Milton, Massachusetts

NPI Number1235254681
Practice location
25 High St, Suite 103, Milton, MA 02186-3426
Fax
617-696-6635
Last updated
July 8, 2007

Paul Anthony Fugazzotto is a Dentist, Periodontics based in Milton, MA. 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 (MA). The current practice location address for Paul Anthony Fugazzotto is 25 High St, Suite 103, Milton, MA 02186-3426 and can be reached out via phone at 671-696-7257 and via fax at 617-696-6635.

Provider Profile Details

NPI Number
1235254681
Provider Name
Paul Anthony Fugazzotto
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
25 High St, Suite 103, Milton, MA 02186-3426
Phone Number
671-696-7257
Fax Number
617-696-6635
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 High St
Suite 103
Milton, MA 02186-3426
City
Milton
Zip
02186-3426
Phone Number
671-696-7257
Fax Number
617-696-6635
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
25 High St
Suite 103
Milton, MA 02186-3426
City
Milton
State
MA
Zip
02186-3426
Phone Number
671-696-7257
Fax Number
617-696-6635

License Information

License Number
14401
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Paul A Fugazzotto, DDS?

The NPI number of Dr. Paul A Fugazzotto, DDS is 1235254681. It was assigned on March 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul A Fugazzotto, DDS?

Dr. Paul A Fugazzotto, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 14401.

Where does Dr. Paul A Fugazzotto, DDS practice?

The practice location is 25 High St, Suite 103, Milton, MA 02186-3426. The office can be reached at 671-696-7257 (phone) or 617-696-6635 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235254681 directly on the NPPES registry website.

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