Provider Demographics
NPI:1306393962
Name:TODD A. PIZZI DDS, INC.
Entity type:Organization
Organization Name:TODD A. PIZZI DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:PIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-755-0187
Mailing Address - Street 1:13983 MANGO DR.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014
Mailing Address - Country:US
Mailing Address - Phone:858-755-0187
Mailing Address - Fax:
Practice Address - Street 1:13983 MANGO DR
Practice Address - Street 2:SUITE 201
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3131
Practice Address - Country:US
Practice Address - Phone:858-755-0187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA646671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty