Organization · Type 2 NPI

Fantuzzo Oral, Maxillofacial, and Dental Implant Surgery, PLLC

Oral and Maxillofacial Surgery (Dentist) · Pittsford, NY

NPI number 1275925380 Active

Practice location

77 Mahogany Run
Pittsford, NY 14534-9424

Mailing address

1815 Clinton Ave. South Suite 320
Rochester, NY 14618

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X048604 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1275925380

Fantuzzo Oral, Maxillofacial, and Dental Implant Surgery, PLLC's National Provider Identifier is 1275925380, issued on Feb 26, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pittsford, NY. The record was last updated on Feb 26, 2015.