Individual provider · Type 1 NPI

Jessica Frances Defazio, DDS

Pediatric Dentistry · New York, NY

NPI number 1770906992 Active

Practice location

345 E 24th St # 9W
New York, NY 10010-4020

Call (414) 491-4003 Map

Mailing address

3776 Dove St
San Diego, CA 92103-3979

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X00000000000000000000 (NY)
Pediatric Dentistry Primary 1223P0221X64173 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1770906992

Jessica Frances Defazio, DDS's National Provider Identifier is 1770906992, issued on Jan 23, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in New York, NY. The record was last updated on Sep 3, 2015.