Provider Demographics
NPI:1487086831
Name:MUZZI DENTAL ASSOCIATES
Entity type:Organization
Organization Name:MUZZI DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANSINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CDA
Authorized Official - Phone:412-431-3497
Mailing Address - Street 1:2526 MONROEVILLE BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2358
Mailing Address - Country:US
Mailing Address - Phone:412-372-2451
Mailing Address - Fax:412-372-4214
Practice Address - Street 1:2526 MONROEVILLE BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2358
Practice Address - Country:US
Practice Address - Phone:412-372-2451
Practice Address - Fax:412-372-4214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030870L1223G0001X
PADS027345L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty