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Dr. Leonard Thomas Fazio, DDS,PC
General Practice Dentistry in Port Jefferson, New York
NPI 1194863134

Leonard Thomas Fazio is a General Practice Dentistry based in Port Jefferson, NY and is specialized in General Practice. Leonard Thomas Fazio practices in Port Jefferson, NY and has the professional credentials of DDS,PC. The NPI Number for Leonard Thomas Fazio is 1194863134 and holds a License No. 041861 (New York).

The current practice location address for Leonard Thomas Fazio is 1303 Main St, Port Jefferson, NY and can be reached out via phone at 631-474-7477 and via fax at 631-474-7427.

Location: 1303 Main St, Port Jefferson, NY, 11777-2257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194863134
Provider Name
Leonard Thomas Fazio
Credential
DDS,PC
Provider Entity Type
Individual
Gender
Male
Address
1303 Main St, Port Jefferson, NY, 11777-2257
Phone Number
631-474-7477
Fax Number
631-474-7427
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1303 Main St
City
Port Jefferson
State
New York
Zip
11777-2257
Phone Number
631-474-7477
Fax Number
631-474-7427
person
Provider Business Mailing Address Details
Address
1303 Main St
City
Port Jefferson
State
New York
Zip
11777-2257
Phone Number
631-474-7477
Fax Number
631-474-7427
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
041861 (New York)
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.
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