STEVEN R IZZO DDS PC NPI 1962655209

NPI Information

STEVEN R IZZO DDS PC is an oral and maxillofacial surgery dentist in Ridgewood, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. STEVEN R IZZO DDS PC NPI is 1962655209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6853 FRESH POND RD
RIDGEWOOD, NY
ZIP 11385-263
Phone: (718) 821-2545
Fax: (718) 418-2809

The provider's authorized official is Steven R Izzo .
The authorized official title is Owner and has the following contact phone number (718) 821-2545.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 11/3/2008.

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:

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