Provider Demographics
NPI:1700638186
Name:FRANK C MAZZAFERRO DDS PLLC
Entity Type:Organization
Organization Name:FRANK C MAZZAFERRO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZAFERRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-336-9140
Mailing Address - Street 1:610 N GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-4130
Mailing Address - Country:US
Mailing Address - Phone:315-336-9140
Mailing Address - Fax:
Practice Address - Street 1:610 N GEORGE ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-4130
Practice Address - Country:US
Practice Address - Phone:315-336-9140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment