DR. WALTER MATTHEW MAZZELLA (NPI# 1487990099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487990099 |
| Entity Type | Individual |
| Full Name | DR. WALTER MATTHEW MAZZELLA |
| Credential | DDS |
| Practice Address |
10775 Birmingham Way Suite 1 Woodstock MD 21163-1425 |
| Practice Telephone | 4102032552 |
| Mailing Telephone | 4102032552 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12129 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733463 | Walter John Mazzella | Dentist | 4400 Jenifer St Nw, #335, Washington, DC 20015 | 2006-01-09 |
| Street Address |
10775 BIRMINGHAM WAY SUITE 1 |
| City | WOODSTOCK |
| State | MD |
| Zip Code | 21163-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881787513 | Walter M. Mazzella, D.d.s., P.C. | Dentist | 10775 Birmingham Way, Suite 1, Woodstock, MD 21163-1425 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680958 | Bestcare Home Inc | In Home Supportive Care | 10617 Duthess Way, Woodstock, MD 21163 | 2018-05-24 |
| 1073973897 | Stephanie P. Bathurst | Marriage & Family Therapist | 21 Deep Powder Court, Woodstock, MD 21163 | 2016-03-07 |
| 1508201153 | American Advanced Nursing and Rehab | Physical Therapist | 10708 Croydon Ct, Woodstock, MD 21163 | 2013-05-08 |
| 1578856928 | Faithe Maria Braznell | Pharmacist | 3319 Peddicoat Court, Woodstock, MD 21163 | 2011-05-18 |
| 1497070452 | William Henry Gregory Jr. | Counselor | 9985 Village Green Drive, Woodstock, MD 21163 | 2010-04-02 |
| 1225014459 | Stephan A Bart Sr. | Family Medicine | 10403 Wetherburn Rd, Woodstock, MD 21163 | 2005-12-20 |
| 1184138737 | Best Healthcare Agency, Inc | Home Health | 3507 Timber Crest Ln, Woodstock, MD 21163-1055 | 2017-11-18 |
| 1811526742 | Domonique Parkes | Student in an Organized Health Care Education/Training Program | 17 Deep Powder Ct, Woodstock, MD 21163-1110 | 2020-04-03 |
| 1477816445 | Aroon Suansilppongse | Psychiatry & Neurology | 1 Deep Powder Ct, Woodstock, MD 21163-1110 | 2012-06-24 |
| 1154513638 | Foot Savers Inc. | Nurse Practitioner | 2815 Granite Rd, Woodstock, MD 21163-1127 | 2007-08-17 |
| Find all providers in zip 21163 | ||||
| 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 |
|---|---|---|---|---|
| 1780221457 | Foundation Dental Partners Georgia, P.C. | Dentist | 1816 Eagle Dr Ste 200-a, Woodstock, GA 30189-8274 | 2019-12-02 |
| 1619538485 | John Perisin | Dentist | 11585 Us Highway 14, Woodstock, IL 60098-7227 | 2019-06-24 |
| 1326365115 | Carl Paul Levitt | Dentist | 1025 Rose Creek Drive, Suite 260, Woodstock, GA 30189 | 2010-05-03 |
| 1407008790 | John F. Evans | Dentist | 669 S. Eastwood Drive, Woodstock, IL 60098-4632 | 2008-10-17 |
| 1851541429 | Lucciola Lambruschini | Dentist | 781 Spring Pkwy, Woodstock, VA 22664-1605 | 2008-09-19 |
| 1679739437 | Ross Frank Bohl | Dentist | 740 S Eastwood Dr, Woodstock, IL 60098-4635 | 2008-07-31 |
| 1982864658 | John Joseph Schultz | Dentist | 715 W Judd St, Woodstock, IL 60098-3186 | 2008-06-16 |
| 1609052877 | Liska M Andu | Dentist | 5026 Winding Hills Ln, Woodstock, GA 30189-2582 | 2008-01-17 |
| 1275728636 | Timothy N. Byrd, D.m.d., P.C. | Dentist | 2035 Towne Lake Pkwy, Suite 130, Woodstock, GA 30189-5569 | 2007-09-10 |
| 1598968042 | Ian Sturn | Dentist | 10010 Highway 92, Suite 140, Woodstock, GA 30188-6427 | 2007-06-11 |
| Find all providers in WOODSTOCK | ||||
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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.