Healthcare Provider Details

I. General information

NPI: 1265549695
Provider Name (Legal Business Name): JOHN FRANCIS BUZZATTO D.M.D.,M.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3942 WILLIAM FLYNN HWY
ALLISON PARK PA
15101-3609
US

IV. Provider business mailing address

3942 WILLIAM FLYNN HWY
ALLISON PARK PA
15101-3609
US

V. Phone/Fax

Practice location:
  • Phone: 412-487-8560
  • Fax: 412-487-8561
Mailing address:
  • Phone: 412-487-8560
  • Fax: 412-487-8561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS020663L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: