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NPI Code Detail

MEDICARE: ROBERT T RIZZUTI D.M.D.

MEDICARE: ROBERT T RIZZUTI 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
11223G0001XGeneral Practice Dentistry13015MO

General Provider Information

NPI Number : 1144377581
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT T RIZZUTI D.M.D.
Provider Business Mailing Address
First Line : 1185 CAVE SPRINGS ESTATE DR
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-6529
Country : US
Telephone Number : 636-757-1800
Fax Number : 636-757-1812
Provider Business Practice Location Address
First Line : 1185 CAVE SPRINGS ESTATE DR
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-6529
Country : US
Telephone Number : 636-757-1800
Fax Number : 636-757-1812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/08/2007

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