Bruce J Cutilli, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS025175L Issued in PA

Practice address

809 N Bethlehem Pike
Spring House, PA 19477-0857

Phone

(215) 591-9354

Fax

(215) 591-9356

NPI assigned

Apr 27, 2006

Last updated

Sep 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bruce J Cutilli Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring House, PA
  • NPI 1437369964
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1083671515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N BETHLEHEM PIKE",
            "address_2": "PO BOX 857",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770857",
            "telephone_number": "215-591-9354",
            "fax_number": "215-591-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N BETHLEHEM PIKE",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770857",
            "telephone_number": "215-591-9354",
            "fax_number": "215-591-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTILLI",
        "first_name": "BRUCE",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS025175L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shari Colibraro
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• Patricia Decawski, P.A.
• Anjana Deshpande, LCSW
• Linda Leigh Earnshaw, RN

• Oral and Maxillofacial Surgery (Dentist) in Spring House, PA
• Providers in Spring House, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.