Provider Demographics
NPI:1578996831
Name:SAVOIA, BRUNO JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRUNO
Middle Name:JOSEPH
Last Name:SAVOIA
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 1:200 CLINIC DR
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-4309
Mailing Address - Country:US
Mailing Address - Phone:225-473-1082
Mailing Address - Fax:225-473-1083
Practice Address - Street 1:200 CLINIC DR
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346-4309
Practice Address - Country:US
Practice Address - Phone:225-473-1082
Practice Address - Fax:225-473-1083
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist