Individual provider Active NPI

Daniel D Bozza, D.M.D.

  • Dentist
  • Williamsport, PA
National Provider Identifier
1083832307
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 026508L Issued in PA
Practice address
471 Hepburn St
Williamsport, PA 17701-6122
Phone
(570) 567-5400
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS 026508L PA Primary
General Practice Dentistry 1223G0001X 22DIO1688700 NJ

Addresses

Primary practice location

471 Hepburn St
Williamsport, PA 17701-6122

Mailing address

471 Hepburn St
Williamsport, PA 17701-6122
Phone (570) 567-5400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150629000663 PA Order and Referring Only - DentistPractitioner - Dentist 2769676303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 026508LPAMDDentist
22DIO1688700NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1083832307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 HEPBURN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016122",
            "telephone_number": "570-567-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HEPBURN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016122",
            "telephone_number": "570-567-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZA",
        "first_name": "DANIEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 026508L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO1688700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.