Provider Demographics
NPI:1174628762
Name:PIZZI, ALBERT LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:LOUIS
Last Name:PIZZI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1205
Mailing Address - Country:US
Mailing Address - Phone:781-878-7333
Mailing Address - Fax:781-792-0058
Practice Address - Street 1:125 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1205
Practice Address - Country:US
Practice Address - Phone:781-878-7333
Practice Address - Fax:781-792-0058
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA096821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice