Paul Cavalluzzo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 9097 Issued in FL

Practice address

17 Old Kings Rd N
Suite H
Palm Coast, FL 32137-8282

Phone

(386) 445-4525

NPI assigned

Aug 29, 2007

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 names 1

• Paul Cavalluzzo Professional name

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1972797215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS RD N",
            "address_2": "SUITE H",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378282",
            "telephone_number": "386-445-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS RD N",
            "address_2": "SUITE H",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378282",
            "telephone_number": "386-445-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLUZZO",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 9097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "CAVALLUZZO",
            "credential": "PAUL CAVALLUZZO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Fletcher Carroll Jr.
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• Richard V. Cashio Jr., M.D.
• Jessica Lynn Cavinta, LMHC
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• Bonnie Marie Chalker, O.D.

• Dentist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.