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NPI Code Detail

MEDICARE: DR. DANIEL D BOZZA D.M.D.

MEDICARE: DR. DANIEL D BOZZA D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS 026508LPA
21223G0001XGeneral Practice Dentistry22DIO1688700NJ

General Provider Information

NPI Number : 1083832307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL D BOZZA D.M.D.
Provider Business Mailing Address
First Line : 471 HEPBURN ST
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-6122
Country : US
Telephone Number : 570-567-5400
Fax Number :
Provider Business Practice Location Address
First Line : 471 HEPBURN ST
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-6122
Country : US
Telephone Number : 570-567-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 02/03/2026

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