FANTUZZO ORAL, MAXILLOFACIAL, AND DENTAL IMPLANT SURGERY, PLLC
NPI 1275925380
Dentist - Oral and Maxillofacial Surgery in Pittsford, NY

Active since February 26, 2015
77 MAHOGANY RUN, PITTSFORD, NY 14534(585) 203-1524 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, Pllc NPPES

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

FANTUZZO ORAL, MAXILLOFACIAL, AND DENTAL IMPLANT SURGERY, PLLC (NPI 1275925380) is a healthcare organization registered as an oral and maxillofacial surgery in Pittsford, New York and active in the NPI registry since February 2015. The organization lists Joseph J Fantuzzo, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1275925380
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFANTUZZO ORAL, MAXILLOFACIAL, AND DENTAL IMPLANT SURGERY, PLLC
Location Address77 MAHOGANY RUNPittsford, NY 14534-9424
Mailing Address1815 Clinton Ave. South Suite 320Rochester, NY 14618
Organization SubpartNo
Authorized OfficialJoseph J FantuzzoOwner/provider · (585) 203-1524
Enumeration DateFebruary 26, 2015
✔ NPI 1275925380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 048604
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
77 MAHOGANY RUN, Pittsford, NY 14534

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Maxillofacial Surgery
NPI 1578183810
1815 S CLINTON AVE STE 320
Rochester, NY 14618
(585) 737-6973
✔ PECOS✔ Accepts Medicare5.5 mi
Maxillofacial Surgery
NPI 1073620373
601 ELMWOOD AVE BOX 705
Rochester, NY 14642
(585) 275-5084
✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC's NPI number?

The NPI number for Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC is 1275925380. It was assigned to this organization in the NPPES registry on February 26, 2015.

Where is Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC located?

Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC is located at 77 Mahogany Run, Pittsford, NY 14534. The listed phone number is (585) 203-1524.

What is Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC enrolled in Medicare?

Yes. Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, PLLC was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.