NPI 1003088592

Thomas John Mazzuchelli, DMD

Practitioner General Practice Dentistry Marietta, GA

Practice location

Address: 58 Shawnee Ln, Marietta, GA 30067-7316
Phone: (770) 973-6520

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN012065 (GA)

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Registry record

NPI: 1003088592
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2008
Record last updated: 25 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.