Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WALTER MATTHEW MAZZELLA, DDS
Active Sole ProprietorDR. WALTER MATTHEW MAZZELLA, DDS is a Dentist healthcare provider located in WOODSTOCK, Maryland. NPI 1487990099 is currently active in the NPPES registry. Verify at CMS.
Dentist · WOODSTOCK, MD
Registration Details
- NPI Number
- 1487990099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2012 (13.612164114195 yrs)
- Last Updated
- Dec 31, 2012
- License
-
12129 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10775 BIRMINGHAM WAYSUITE 1WOODSTOCK, MD, 211631425Browse MD providers · Browse ZIP 21163
- Phone
- 4102032552
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WOODSTOCK, MD
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL LISTHAUS | DDS | 1841814845 |
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.