| Joseph J Fantuzzo, DDS, MD | |
|
601 Elmwood Ave, Box 705, Rochester, NY 14642-0001 | |
| (585) 275-5084 | |
| (585) 276-0293 |
| Full Name | Joseph J Fantuzzo |
|---|---|
| Gender | Male |
| Speciality | Maxillofacial Surgery |
| Experience | 25 Years |
| Location | 601 Elmwood Ave, Rochester, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073620373 | NPI | - | NPPES |
| MDJ123 | Other | PREFERRED CARE | |
| 02636886 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 043604 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fantuzzo Oral, Maxillofacial, And Dental Implant Surgery, Pllc | 4486957388 | 2 |
| Entity Name | Fantuzzo Oral, Maxillofacial, and Dental Implant Surgery, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275925380 PECOS PAC ID: 4486957388 Enrollment ID: O20160127001615 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J Fantuzzo, DDS, MD 601 Elmwood Ave, Box 705, Rochester, NY 14642-0001 Ph: (585) 275-5084 | Joseph J Fantuzzo, DDS, MD 601 Elmwood Ave, Box 705, Rochester, NY 14642-0001 Ph: (585) 275-5084 |
Dr. Niaz Ahmed, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4000 |
Dr. Christopher Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 539 Long Pond Rd, Rochester, NY 14612 Phone: 585-621-2040 |
Ahmed Alsayed, Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 Elmwood Ave, Rochester, NY 14620 Phone: 585-275-5051 |
Dorota Kopycka-kedzierawski, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 625 Elmwood Ave, Box 683, Rochester, NY 14620 Phone: 585-275-0706 |
Dr. Andrew Joseph Dvonch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2425 Clover St, Rochester, NY 14618 Phone: 585-461-2040 Fax: 585-473-1747 |
Iswara Parvathaneni, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2255 Ridge Rd E, Rochester, NY 14622 Phone: 585-544-8220 Fax: 585-544-8577 |
Richard A Bastiano, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3333 W Henrietta Rd, Rochester, NY 14623 Phone: 585-427-0400 |