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DANIEL MICHAEL MAZZOCCO JR. DMD
NPI 1609961861
Dentist - Periodontics in Hazelton, PA

Active since October 04, 2006
305 SOUTH CHURCH STREET, SOUTH GATE OFFICE COMPLEX SUITE 190, HAZELTON, PA 18201(570) 459-2526(570) 455-8369 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Michael Mazzocco Jr. Dmd NPPES

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

DANIEL MICHAEL MAZZOCCO JR. DMD (NPI 1609961861) is an individual periodontics provider in Hazelton, Pennsylvania, licensed in Pennsylvania (DS018626L) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1609961861
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDANIEL MICHAEL MAZZOCCO JR.Credential: DMD
Location Address305 SOUTH CHURCH STREET, SOUTH GATE OFFICE COMPLEX SUITE 190Hazelton, PA 18201-7605
Mailing Address305 South Church Street, South Gate Office Complex Suite 190Hazelton, PA 18201-7605 · (570) 459-2526 · Fax (570) 455-8369
Phone(570) 459-2526
Fax(570) 455-8369
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609961861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in PA · DS018626L
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
305 SOUTH CHURCH STREET, Hazelton, PA 18201
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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 Daniel Mazzocco's NPI number?

The NPI number for Daniel Mazzocco is 1609961861. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Daniel Mazzocco located?

Daniel Mazzocco practices at 305 South Church Street South Gate Office Complex Suite 190, Hazelton, PA 18201. The listed phone number is (570) 459-2526.

What is Daniel Mazzocco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Daniel Mazzocco was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.