Provider Demographics
NPI:1992197099
Name:DONNA VAGNOZZI BUCCI
Entity Type:Organization
Organization Name:DONNA VAGNOZZI BUCCI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAGNUZZI-BUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-818-9797
Mailing Address - Street 1:7 TREE FARM RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1461
Mailing Address - Country:US
Mailing Address - Phone:609-818-9797
Mailing Address - Fax:609-818-9790
Practice Address - Street 1:7 TREE FARM RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1461
Practice Address - Country:US
Practice Address - Phone:609-818-9797
Practice Address - Fax:609-818-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-26
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI016306122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty