Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fantuzzo Oral, Maxillofacial, and Dental Implant Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1275925380

Fantuzzo Oral, Maxillofacial, and Dental Implant Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Pittsford, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Mahogany Run
Pittsford, NY 14534-9424
Phone: (585) 203-1524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 048604 (NY)

Record details

NPI number1275925380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Fantuzzo — Owner/Provider · (585) 203-1524
NPI enumeratedFebruary 26, 2015
Last updated in NPPESFebruary 26, 2015
Mailing address1815 Clinton Ave. South Suite 320, Rochester, NY 14618

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