Philip Vincent Mazzola, DDS

Dentist · Nesconset, NY

Individual Active NPI

NPI number 1811005705

Practice location

280 Smithtown Blvd
Nesconset, NY 11767-2054
Phone
(631) 588-6754
Fax
(631) 588-1822

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NPI record

NPI
1811005705
Entity type
Individual (Type 1)
Enumeration date
August 29, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 030876 NY

About Dr. Mazzola

Philip Vincent Mazzola, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 280 Smithtown Blvd, Nesconset, NY 11767-2054. The NPI number 1811005705 was assigned on August 29, 2006 and the record was last updated on July 8, 2007.

Dr. Mazzola lists a license in the registry: #030876 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Philip Vincent Mazzola, DDS?

The NPI number is 1811005705.

What is the phone number of Dr. Mazzola?

The phone number listed for the practice location is (631) 588-6754.

Where is Dr. Mazzola located?

280 Smithtown Blvd, Nesconset, NY 11767-2054.

What is the taxonomy code for Dr. Mazzola?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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