DR. JOSEPH LEONARD MUSTAZZA


Address: 3223 N Broad St, Philadelphia, PA 19140-5007
Phone: 2157072900

DR. JOSEPH LEONARD MUSTAZZA (NPI# 1588221717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588221717
Entity Type Individual
Full Name DR. JOSEPH LEONARD MUSTAZZA
Credential DMD, MS
Practice Address 3223 N Broad St
Philadelphia
PA 19140-5007
Mailing Address 391 Essex Ct
Perkasie
PA 18944-1297
Practice Telephone 2157072900
Enumeration Date 2019-05-22
Last Update Date 2020-08-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
DS042154 PA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
391 Essex Ct, Perkasie, PA 189441297 2673072358

Office Location

Street Address 3223 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871581959 Dione J Cash Pediatrics 3223 N Broad St, Philadelphia, PA 19140-5007 2005-10-12
1992313357 Amir Maki Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-21
1386252070 Maria Jun Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-19
1407464423 Ping Wang Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-15
1104450535 Vladimir Flys Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2020-02-25
1366090094 Nicholas Bizzaro Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2019-08-27
1619537743 Thomas Adel Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-06-20
1972163897 Divya Trikannad Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-06-13
1790341048 Gregory Ramirez Student in an Organized Health Care Education/Training Program 3223 N Broad St, Philadelphia, PA 19140-5007 2019-05-13
1073074365 Mustafa A Badi Dentist 3223 N Broad St, Philadelphia, PA 19140-5007 2019-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235792458 Fany Briseyda Ocampo Dentist 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 2019-04-15
1992261036 Manal Sabir Dentist 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 2019-02-13
1104378611 Natalie Amoa Dentist 8021b Castor Ave, Philadelphia, PA 19152-2733 2016-10-31
1558720094 Fathi Elgaddari Dentist 1500 Locust St Apt 1715, Philadelphia, PA 19102-4337 2016-02-11
1790185528 David Paul Semeniuk Dentist 3223 N Broad St Rm 302, Philadelphia, PA 19140-5007 2014-08-28
1740616895 Periodontal Consultants PC Dentist 2546 S Broad St Rear, Philadelphia, PA 19145-4638 2013-09-20
1942548664 Peter Robert Hunt Dentist 266 S 21st St, Philadelphia, PA 19103-4860 2013-01-31
1083999759 Merriam Seyedain Dentist 3223 N Broad St Ste 2a07, Philadelphia, PA 19140-5007 2011-10-13
1710275284 Juan Carlos Cabrera Dentist 220 S 16th St Ste 901, Philadelphia, PA 19102-3309 2011-07-18
1982867412 Scott Nakamura Dentist 240 S 4th St # 300, Philadelphia, PA 19106-3722 2008-07-03
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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