Individual provider Active NPI

Jonila Buzzell, DMD

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1265793244
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855959 Issued in MA
Practice address
255 Park Ave Ste 802
Worcester, MA 01609-1929
Phone
(508) 754-9010
NPI assigned
Jun 6, 2012
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855959 MA Primary

Addresses

Primary practice location

255 Park Ave Ste 802
Worcester, MA 01609-1929

Mailing address

255 Park Ave Ste 802
Worcester, MA 01609-1929
Phone (508) 754-9010

Other names 1

  • Jonila Pishtari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1855959MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Boylston Dental Associates General Practice Past Accepting new patients
Professional Dental Allaince of Massachusetts PLLC General Practice PastSince Dec 22, 2019 Accepting new patients
Wachusett Dental PLLC General Practice PastSince Feb 9, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1265793244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 802",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091929",
            "telephone_number": "508-754-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 802",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091929",
            "telephone_number": "508-754-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZELL",
        "first_name": "JONILA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONILA",
            "last_name": "PISHTARI",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; 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.