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

Q: 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.

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: August 09, 2026.

On this page

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

Phone(585) 203-1524

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

Open in Google Maps ↗

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

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.

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.