Provider Demographics
NPI:1831751296
Name:DOZZI, KATHRYN (DMD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:DOZZI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:POLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:6808 GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1085
Mailing Address - Country:US
Mailing Address - Phone:412-362-5677
Mailing Address - Fax:
Practice Address - Street 1:6808 GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1085
Practice Address - Country:US
Practice Address - Phone:412-362-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS042266122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist