DR. ANTHONY WILLIAM FAZIO DDS
NPI 1205049053
Dentist in Medford, NY

Q: What is Anthony Fazio's NPI number?

The NPI number for Anthony Fazio is 1205049053. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Anthony Fazio's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony 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 May 08, 2007

2600 ROUTE 112, MEDFORD, NY 11763(631) 475-3345(631) 475-1090 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Anthony William Fazio Dds NPPES

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

DR. ANTHONY WILLIAM FAZIO DDS (NPI 1205049053) is an individual dentist in Medford, New York, licensed in New York (0472071) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1205049053

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ANTHONY WILLIAM FAZIOCredential: DDS

Location Address2600 ROUTE 112Medford, NY 11763

Mailing Address111 Spruce DrHolbrook, NY 11741 · (631) 207-1334

Phone(631) 475-3345

Fax(631) 475-1090

Sole ProprietorNo

Enumeration DateMay 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205049053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 0472071

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2600 ROUTE 112, Medford, NY 11763

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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 Anthony Fazio's NPI number?

The NPI number for Anthony Fazio is 1205049053. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Anthony Fazio located?

Anthony Fazio practices at 2600 Route 112, Medford, NY 11763. The listed phone number is (631) 475-3345.

What is Anthony Fazio's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Anthony 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.