Dr. Thomas John Mazzuchelli
Dentist - General Practice
58 Shawnee Ln
Marietta
, Georgia 30067-7316
Dr. Thomas John Mazzuchelli
Dentist - General Practice
58 Shawnee Ln
Marietta
, Georgia 30067-7316
(770) 973-6520
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Thomas John Mazzuchelli
- 58 Shawnee Ln
- Marietta, GA
- Zip : 30067-7316
- Phone : (770) 973-6520
Second Address
- Dr. Thomas John Mazzuchelli
- 58 Shawnee Ln
- Marietta, GA
- Zip : 30067-7316
- Phone : (770) 973-6520
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Is Dr. Thomas John Mazzuchelli a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | DN012065 | GA |
| Y | 213EG0000X | General Practice | DN012065 | GA |
National Provider Identifier
| NPI | 1003088592 |
|---|---|
| Provider Name | Dr. Thomas John Mazzuchelli |
| First Address | Marietta, GA 30067-7316 |
| Second Address | Marietta, GA 30067-7316 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2008 |
| Last Update Date | 25/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.