Dr. Bruce D Marzullo, DDS
Dr. Bruce D Marzullo is a Oral and Maxillofacial Surgery (Dentist) provider (Dentist) practicing in Poughkeepsie, NY, registered in the NPPES registry with NPI 1154461689 since 2007. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154461689 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Bruce D Marzullo |
| Credential | DDS |
| Sex | Male |
| Practice address | 43 LAGRANGE AVENUE, Poughkeepsie, NY, 12603 |
| Phone | 8454522900 |
| Fax | 8454524974 |
| Enumeration date | 2007-02-07 |
| Last updated in NPPES | 2023-03-07 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Primary | 037383 | NY |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01017770 | Medicaid | NY | — |
Copy-ready billing details
Provider: Bruce Marzullo, DDS NPI: 1154461689 Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist)) Address: 43 LAGRANGE AVENUE, Poughkeepsie, NY, 12603
Verify this record
Cross-check NPI 1154461689 against the authoritative CMS record: view Dr. Bruce D Marzullo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.