DR. PETER PAUL BRZOZA (NPI# 1932417110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932417110 |
| Entity Type | Individual |
| Full Name | DR. PETER PAUL BRZOZA |
| Credential | DDS |
| Practice Address |
1 Roosevelt Ave 203 Peabody MA 01960-2904 |
| Mailing Address |
1 Roosevelt Ave 203 Peabody MA 01960 |
| Practice Telephone | 9788545666 |
| Mailing Telephone | 9788545666 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1855670 | MA | Dental Providers |
| Street Address |
1 ROOSEVELT AVE 203 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937279 | Richard D. Lafauci | Dentist | 1 Roosevelt Ave, Suite 203, Peabody, MA 01960-2200 | 2005-10-24 |
| 1437690138 | Massachusetts Dental Arts, P.C. | Dentist | 1 Roosevelt Ave, 203, Peabody, MA 01960-2200 | 2017-03-14 |
| 1902355506 | Hayley Ann Nichols | Nurse Practitioner | 1 Roosevelt Ave, Suite # 201, Peabody, MA 01960-2200 | 2016-09-25 |
| 1477960631 | Tess Megan Prescott | Physical Therapist | 1 Roosevelt Ave, Suite 205, Peabody, MA 01960-2200 | 2014-07-18 |
| 1760718423 | Matthew C. Tortora | Physical Therapist | 1 Roosevelt Ave, Suite 205, Peabody, MA 01960-2200 | 2009-10-29 |
| 1528392990 | Carolyn Natalie Mancini | Nurse Practitioner | 1 Roosevelt Ave, Suite 201, Peabody, MA 01960-2200 | 2009-10-01 |
| 1518135854 | Alan Roy Zicherman | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2008-02-20 |
| 1033326087 | Federico Fabian Lago | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2007-05-17 |
| 1043330913 | Stuart G Merle & Alan R Zicherman PC | Dentist | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2007-04-01 |
| 1689766339 | Orthopaedic Physical Therapy Specialists, Inc. | Clinic/Center | 1 Roosevelt Ave, Suite 205, Peabody, MA 01960-2200 | 2006-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782451 | Micheline D. Moini | Dentist | 215 Newbury St Ste 201, Peabody, MA 01960-2400 | 2018-12-23 |
| 1427559681 | Peabody Dental Group, LLC | Dentist | 619 Lowell St Unit 2, Peabody, MA 01960-2316 | 2018-02-23 |
| 1568995066 | James Vincent Pastore | Dentist | 25 Raylen Ave, Peabody, MA 01960-2611 | 2017-04-11 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1770881211 | Jemin Kim | Dentist | 215 Newbury Street Suite 201, Peabody, MA 01960 | 2011-03-08 |
| 1821398801 | Dongho Kim | Dentist | 5 Sylvan St, Peabody, MA 01960-1606 | 2010-10-25 |
| 1477755536 | Kenneth H Titel Dmd PC | Dentist | 101 Brooksby Village Dr, Peabody, MA 01960-1448 | 2007-06-01 |
| 1588710503 | Biplab Kumar Malo | Dentist | 80 Foster St, Unit-104, Peabody, MA 01960-5953 | 2007-01-25 |
| 1730102906 | Edward Joseph O'leary Jr. | Dentist | 129 Lynn St, Peabody, MA 01960 | 2006-07-26 |
| 1447235718 | Arnold Richard Wallins | Dentist | 765 Lowell St, Peabody, MA 01960-3352 | 2005-12-09 |
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| 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.