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MARK ALEXANDER NIZZA DMD NPI 1265921878


NPI Information

NPI: 1265921878
Provider Name: MARK ALEXANDER NIZZA, DMD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
3367 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635
Phone: (574) 272-8823
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Mark Alexander Nizza, DMD is an oral maxillofacial surgery in South Bend, IN. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Mark Alexander Nizza, DMD NPI is 1265921878. 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:

3367 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635-779
Phone: (574) 272-8823
Fax: (574) 277-1837

The enumeration date for this NPI number is 5/9/2018 and was last updated on 8/16/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial Surgery12013970AINDIANAYes

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: 4/28/2024

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