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● Active Type 1 · Individual

Dr. Thomas John Mazzuchelli, D.M.D.

General Practice (Dentist)·Marietta, GA· NPI 1003088592 · Enumerated 2008 · 18 years on NPI
Mazzuchelli is 1 of 218 general practice (dentist) providers in Marietta and 1 of 4,429 in Georgia.
NPI age
18 years
Enumerated 2008-03-25
Primary specialty
General Practice (Dentist)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-25
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4429 active general practice (dentist) providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2008 → 2008

2008-03Enumerated in NPPES
2008 2008

Where they practice

Practice location
58 Shawnee Ln
Marietta, GA 300677316
📞 7709736520
Mailing address
58 Shawnee Ln
Marietta, GA 300677316
📞 7709736520

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN012065 taxonomy 1223G0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 3 new general practice (dentist) providers have been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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