Provider Demographics
NPI:1235442039
Name:PRESSUTTI, DAVID MICHAEL JR (DMD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MICHAEL
Last Name:PRESSUTTI
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 SERENA AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-2807
Mailing Address - Country:US
Mailing Address - Phone:559-797-5692
Mailing Address - Fax:
Practice Address - Street 1:726 W BARSTOW AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1955
Practice Address - Country:US
Practice Address - Phone:559-431-3559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA594701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics