National Provider Identifier
Joseph J Fantuzzo, D.D.S, M.D.
Joseph J Fantuzzo, D.D.S, M.D. is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Rochester, NY and a listed phone number of (585) 275-5084.
Profile Overview
- NPI
- 1073620373
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- August 23, 2006
- Last Updated
- July 08, 2007
Practice Location
- 601 Elmwood Ave
- Box 705
- Rochester, NY 14642-0001
Phone: (585) 275-5084
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1073620373
- Entity Type
- Individual
- Last Name
- Fantuzzo
- First Name
- Joseph
- Middle Name
- J
- Credential
- D.D.S, M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 705
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5084
- Mailing Fax
- (585) 276-0293
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 705
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5084
- Practice Fax
- (585) 276-0293
- Enumeration Date
- August 23, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
- Other Identifiers
- MDJ123 (Preferred Care), 02636886 (NY)