Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL MICHAEL MAZZOCCO JR., DMD
ActiveDANIEL MICHAEL MAZZOCCO JR., DMD is a Periodontology healthcare provider located in HAZELTON, Pennsylvania. NPI 1609961861 is currently active in the NPPES registry. Verify at CMS.
Periodontology · HAZELTON, PA
Registration Details
- NPI Number
- 1609961861
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.907025180758 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS018626L (PA)
Practice Information
- Address
-
305 SOUTH CHURCH STREETSOUTH GATE OFFICE COMPLEX SUITE 190HAZELTON, PA, 182017605Browse PA providers · Browse ZIP 18201
- Phone
- 5704592526
- Fax
- 5704558369
- Primary Specialty
-
Periodontology
1223P0300X
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.