Individual provider · Type 1 NPI

Nicholas Bizzaro, DMD

General Practice Dentistry · Philadelphia, PA

NPI number 1366090094 Active

Practice location

3223 N Broad St
Philadelphia, PA 19140-5007

Mailing address

5639 Ridge Ave
Philadelphia, PA 19128-2765

Other practice locations

  • 545 N Broad St, Philadelphia, PA 19123-3592 · (215) 896-6524

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS042438 (PA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1366090094

Nicholas Bizzaro, DMD's National Provider Identifier is 1366090094, issued on Aug 27, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on May 6, 2026.