Active NPIIndividual provider

Mr. Domenic A Mazzocco, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Hanover, Massachusetts

NPI Number1457435083
Practice location
235 Hanover St, Hanover, MA 02339-2208
Fax
781-826-3900
Last updated
July 8, 2007

Domenic Anthony Mazzocco is a Dentist, Orthodontics and Dentofacial Orthopedics based in Hanover, MA. Domenic Anthony Mazzocco practices in Hanover, MA and has the professional credentials of DMD. The NPI Number for Domenic Anthony Mazzocco is 1457435083 and holds a License No. 17519 (MA). The current practice location address for Domenic Anthony Mazzocco is 235 Hanover St, Hanover, MA 02339-2208 and can be reached out via phone at 781-826-3900 and via fax at 781-826-3900.

Provider Profile Details

NPI Number
1457435083
Provider Name
Domenic Anthony Mazzocco
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
235 Hanover St, Hanover, MA 02339-2208
Phone Number
781-826-3900
Fax Number
781-826-3900
Sole Proprietor
No
Provider Enumeration Date
October 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Hanover St
Hanover, MA 02339-2208
Zip
02339-2208
Phone Number
781-826-3900
Fax Number
781-826-3900
Hanover, MA 02339Get directions →

Provider Business Mailing Address Details

Address
235 Hanover St
Hanover, MA 02339-2208
City
Hanover
State
MA
Zip
02339-2208
Phone Number
781-826-3900
Fax Number
781-826-3900

License Information

License Number
17519
License State
MA
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Mr. Domenic A Mazzocco, DMD?

The NPI number of Mr. Domenic A Mazzocco, DMD is 1457435083. It was assigned on October 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Domenic A Mazzocco, DMD?

Mr. Domenic A Mazzocco, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 17519.

Where does Mr. Domenic A Mazzocco, DMD practice?

The practice location is 235 Hanover St, Hanover, MA 02339-2208. The office can be reached at 781-826-3900 (phone) or 781-826-3900 (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 1457435083 directly on the NPPES registry website.

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