Active NPIIndividual providerSole proprietor

Dr. John Ianzano, DMD, MSD

Dentist in Ridgewood, New Jersey

NPI Number1962583385
Practice location
545 Route 17 South, Suite 2007, Ridgewood, NJ 07450
Fax
201-447-4099
Last updated
July 8, 2007

John Ianzano is a Dentist based in Ridgewood, NJ. John Ianzano practices in Ridgewood, NJ and has the professional credentials of DMD, MSD. The NPI Number for John Ianzano is 1962583385 and holds a License No. 12955 (NJ). The current practice location address for John Ianzano is 545 Route 17 South, Suite 2007, Ridgewood, NJ 07450 and can be reached out via phone at 201-447-9700 and via fax at 201-447-4099.

Provider Profile Details

NPI Number
1962583385
Provider Name
John Ianzano
Credential
DMD, MSD
Provider Entity Type
Individual
Gender
Male
Address
545 Route 17 South, Suite 2007, Ridgewood, NJ 07450
Phone Number
201-447-9700
Fax Number
201-447-4099
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
545 Route 17 South
Suite 2007
Ridgewood, NJ 07450
Zip
07450
Phone Number
201-447-9700
Fax Number
201-447-4099
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
102 Walnut St
Oakland, NJ 07436-2646
City
Oakland
State
NJ
Zip
07436-2646
Phone Number
201-447-9700
Fax Number
646-536-3187

License Information

License Number (1)
12955
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
040118
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John Ianzano, DMD, MSD?

The NPI number of Dr. John Ianzano, DMD, MSD is 1962583385. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John Ianzano, DMD, MSD?

Dr. John Ianzano, DMD, MSD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 12955.

Where does Dr. John Ianzano, DMD, MSD practice?

The practice location is 545 Route 17 South, Suite 2007, Ridgewood, NJ 07450. The office can be reached at 201-447-9700 (phone) or 201-447-4099 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962583385 directly on the NPPES registry website.

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