Provider Demographics
NPI:1770637035
Name:SCAVUZZO, ALISON M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:M
Last Name:SCAVUZZO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 HAMPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4836
Mailing Address - Country:US
Mailing Address - Phone:724-228-3142
Mailing Address - Fax:
Practice Address - Street 1:131 S COLLEGE ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4923
Practice Address - Country:US
Practice Address - Phone:724-228-3142
Practice Address - Fax:724-228-9771
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028792L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice