Provider Demographics
NPI:1831644053
Name:SAVITTIERI, MARCO (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:
Last Name:SAVITTIERI
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 1:6321 RANCHO PARK DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-3825
Mailing Address - Country:US
Mailing Address - Phone:858-337-7966
Mailing Address - Fax:
Practice Address - Street 1:6321 RANCHO PARK DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3825
Practice Address - Country:US
Practice Address - Phone:858-337-7966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1007291223D0004X
CAD1007291223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist