DR. MICHAEL JOHN DESIVO D.D.S. NPI 1225448855

NPI Information

NPI: 1225448855
Provider Name: DR. MICHAEL JOHN DESIVO, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
228 EAST MAIN ST
EAST ISLIP, NY
ZIP 11730
Phone: (631) 983-6281
Get Directions

DR. Michael John Desivo, D.D.S. is a general practice dentist in East Islip, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michael John Desivo, D.D.S. NPI is 1225448855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

228 EAST MAIN ST
EAST ISLIP, NY
ZIP 11730
Phone: (631) 983-6281
Fax: (631) 581-8603

The enumeration date for this NPI number is 5/5/2014 and was last updated on 4/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	057983-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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