Luc Mazzini, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12632 Issued in TX

Practice address

6601 N Davis Hwy Ste 8
Pensacola, FL 32504-6210

Phone

(850) 505-0500

Fax

(850) 505-0600

NPI assigned

Jan 28, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1205013745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046210",
            "telephone_number": "850-505-0500",
            "fax_number": "850-505-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046210",
            "telephone_number": "850-505-0500",
            "fax_number": "850-505-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZINI",
        "first_name": "LUC",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "DN12632",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Maynard
• Penelope Maynard, M.D.
• Jessica Mayo, LMHC
• June Roxanne Mayorca, CAP / LMHC
• Dominique Maywald
• Autumn McAllister, L.M.H.C.
• James Bernard McAllister, DMD
• Lindsey M McAlpin, M.D.
• Susan McAlpin
• Sarah Marie McAlpine, D.O.

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.