Provider Demographics
NPI:1205274388
Name:TOZZI, MICHAELA (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHAELA
Middle Name:
Last Name:TOZZI
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 1:8975 S PECOS RD
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7160
Mailing Address - Country:US
Mailing Address - Phone:702-630-8818
Mailing Address - Fax:
Practice Address - Street 1:8975 S PECOS RD
Practice Address - Street 2:SUITE 5A
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7160
Practice Address - Country:US
Practice Address - Phone:702-630-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008717122300000X
NV6472122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist