Provider Demographics
NPI:1649297334
Name:BUZZATTO, BRIAN P (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:P
Last Name:BUZZATTO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3038
Mailing Address - Country:US
Mailing Address - Phone:412-781-5588
Mailing Address - Fax:
Practice Address - Street 1:12 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3038
Practice Address - Country:US
Practice Address - Phone:412-781-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025534-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice