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DR. THOMAS JOHN MAZZUCHELLI D.M.D.
NPI 1003088592
Dentist - General Practice in Marietta, GA

Active since March 25, 2008PECOS Enrolled
58 SHAWNEE LN, MARIETTA, GA 30067(770) 973-6520 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas John Mazzuchelli D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS JOHN MAZZUCHELLI D.M.D. (NPI 1003088592) is an individual general practice provider in Marietta, Georgia, licensed in Georgia (DN012065) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003088592
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS JOHN MAZZUCHELLICredential: D.M.D.
Location Address58 SHAWNEE LNMarietta, GA 30067-7316
Mailing Address58 Shawnee LnMarietta, GA 30067-7316 · (770) 973-6520
Phone(770) 973-6520
Sole ProprietorYes
Enumeration DateMarch 25, 2008
✔ NPI 1003088592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN012065
Definition
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.
58 SHAWNEE LN, Marietta, GA 30067
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas John Mazzuchelli D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Mazzuchelli's NPI number?

The NPI number for Thomas Mazzuchelli is 1003088592. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Thomas Mazzuchelli located?

Thomas Mazzuchelli practices at 58 Shawnee Ln, Marietta, GA 30067. The listed phone number is (770) 973-6520.

What is Thomas Mazzuchelli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Mazzuchelli enrolled in Medicare?

Yes. Thomas Mazzuchelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Mazzuchelli was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.