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

Individual provider General Practice Dentistry · NPI 1366090094

Nicholas Bizzaro, DMD is a General Practice Dentistry in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3223 N Broad St
Philadelphia, PA 19140-5007
Phone: (215) 707-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 545 N Broad St, Philadelphia, PA 19123-3592 — (215) 896-6524

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS042438 (PA)

Record details

NPI number1366090094
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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