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

Daniel Michael Mazzocco Jr., DMD

Individual provider Periodontics · NPI 1609961861

Daniel Michael Mazzocco Jr., DMD is a Periodontics in Hazelton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

305 S Church Street South Gate Ofc Complex Ste 190
Hazelton, PA 18201-7605
Phone: (570) 459-2526
Fax: (570) 455-8369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS018626L (PA)

Record details

NPI number1609961861
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007