Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN MICHAEL RISTUCCIA, D.D.S.
Active Sole ProprietorDR. JOHN MICHAEL RISTUCCIA, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in FAIRHAVEN, Massachusetts. NPI 1023173788 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FAIRHAVEN, MA
Registration Details
- NPI Number
- 1023173788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2006 (19.687980844412 yrs)
- Last Updated
- Oct 21, 2015
- License
-
11590 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
46 BALSAM STFAIRHAVEN, MA, 027197045Browse MA providers · Browse ZIP 02719
- Phone
- 5089996098
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.