Provider Demographics
NPI:1073727152
Name:DRJ H PIZZARELLO AND DR C SILVESTRO FAMILY DENTISTRY
Entity Type:Organization
Organization Name:DRJ H PIZZARELLO AND DR C SILVESTRO FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:PIZZARELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:1781-438-3199
Mailing Address - Street 1:546 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2880
Mailing Address - Country:US
Mailing Address - Phone:781-438-3199
Mailing Address - Fax:781-438-0205
Practice Address - Street 1:546 MAIN ST
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-2880
Practice Address - Country:US
Practice Address - Phone:781-438-3199
Practice Address - Fax:781-438-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA187971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty