Provider Demographics
NPI:1982713509
Name:VAGNOZZI-BUCCI, DONNA (DMD)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:VAGNOZZI-BUCCI
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 1:7 TREE FARM RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
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
Practice Address - Country:US
Practice Address - Phone:609-818-9797
Practice Address - Fax:609-818-9790
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028078L122300000X
NJDI16306122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA21026744OtherDELTA
PA0774792OtherBCBS