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STEVEN R IZZO DDS PC
NPI 1962655209
Dentist - Oral and Maxillofacial Surgery in Ridgewood, NY

Active since October 30, 2008
6853 FRESH POND RD, RIDGEWOOD, NY 11385(718) 821-2545(718) 418-2809 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Steven R Izzo Dds Pc NPPES

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

STEVEN R IZZO DDS PC (NPI 1962655209) is a healthcare organization registered as an oral and maxillofacial surgery in Ridgewood, New York and active in the NPI registry since October 2008. The organization lists Steven R Izzo, Owner, as its authorized official.

NPPES Registry Identity

NPI1962655209
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSTEVEN R IZZO DDS PC
Location Address6853 FRESH POND RDRidgewood, NY 11385-5263
Mailing Address6853 Fresh Pond RdRidgewood, NY 11385-5263 · (718) 821-2545 · Fax (718) 418-2809
Phone(718) 821-2545
Fax(718) 418-2809
Organization SubpartNo
Authorized OfficialSteven R IzzoOwner · (718) 821-2545
Enumeration DateOctober 30, 2008
Last NPPES UpdateNovember 3, 2008
✔ NPI 1962655209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 042245
Definition
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.
6853 FRESH POND RD, Ridgewood, NY 11385
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Other Identifiers 1

Medicaid01594536NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ELYSIA LOUISE JUNGIN MAHARDY LMT
Massage Therapist
6853 FRESH POND RD
RIDGEWOOD, NY 11385
Queens County (516) 545-9637
DR. STEVEN R IZZO DDS
Dentist (Oral and Maxillofacial Surgery)
6853 FRESH POND RD
RIDGEWOOD, NY 11385
Queens County (718) 821-2545

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 Steven R Izzo Dds PC's NPI number?

The NPI number for Steven R Izzo Dds PC is 1962655209. It was assigned to this organization in the NPPES registry on October 30, 2008.

Where is Steven R Izzo Dds PC located?

Steven R Izzo Dds PC is located at 6853 Fresh Pond Rd, Ridgewood, NY 11385. The listed phone number is (718) 821-2545.

What is Steven R Izzo Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Steven R Izzo Dds PC was last updated on November 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.