DR. LEONARD THOMAS FAZIO D.D.S., P.C.
NPI 1194863134
Dentist - General Practice in Port Jefferson, NY

Q: What is Leonard Fazio's NPI number?

The NPI number for Leonard Fazio is 1194863134. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Q: What is Leonard Fazio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Leonard Fazio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2007

1303 MAIN ST, THE PEN AND PENCIL BUILDING SUITE 2, PORT JEFFERSON, NY 11777(631) 474-7477(631) 474-7427 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Leonard Thomas Fazio D.d.s., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEONARD THOMAS FAZIO D.D.S., P.C. (NPI 1194863134) is an individual general practice provider in Port Jefferson, New York, licensed in New York (041861) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1194863134

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LEONARD THOMAS FAZIOCredential: D.D.S., P.C.

Location Address1303 MAIN ST, THE PEN AND PENCIL BUILDING SUITE 2Port Jefferson, NY 11777-2257

Mailing Address1303 Main St, The Pen And Pencil Building Suite 2Port Jefferson, NY 11777-2257 · (631) 474-7477 · Fax (631) 474-7427

Phone(631) 474-7477

Fax(631) 474-7427

Sole ProprietorYes

Enumeration DateFebruary 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194863134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 041861

Definition

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.

1303 MAIN ST, Port Jefferson, NY 11777

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LOUANNE E ABELQUIST LMT

Massage Therapist

1303 MAIN ST, SUITE 3B
PORT JEFFERSON, NY 11777

Suffolk County (631) 473-5786

JUST YOU AND EYE OPT INC

Eyewear Supplier

1303 MAIN ST, SUITE E
PORT JEFFERSON, NY 11777

Suffolk County (631) 331-5546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Fazio's NPI number?

The NPI number for Leonard Fazio is 1194863134. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Leonard Fazio located?

Leonard Fazio practices at 1303 Main St The Pen And Pencil Building Suite 2, Port Jefferson, NY 11777. The listed phone number is (631) 474-7477.

What is Leonard Fazio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Leonard Fazio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.