Organization · Type 2 NPI
Steven R Izzo DDS PC
Oral and Maxillofacial Surgery (Dentist) · Ridgewood, NY
NPI number
1962655209
Active
Practice location
6853 Fresh Pond Rd
Ridgewood, NY 11385-5263
Fax (718) 418-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 042245 (NY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
2 other providers at this address
About NPI 1962655209
Steven R Izzo DDS PC's National Provider Identifier is 1962655209, issued on Oct 30, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ridgewood, NY. The record was last updated on Nov 3, 2008.