Provider Demographics
NPI:1073127221
Name:SALVATORE M PIZZINO DDS PLLC
Entity Type:Organization
Organization Name:SALVATORE M PIZZINO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIZZINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-537-8849
Mailing Address - Street 1:112 CAMBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7561
Mailing Address - Country:US
Mailing Address - Phone:203-537-8849
Mailing Address - Fax:
Practice Address - Street 1:5525 SPEEGLEVILLE RD
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-4070
Practice Address - Country:US
Practice Address - Phone:203-537-8849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental