Active NPIIndividual providerSole proprietor

Dr. Fredric C Mazza, DMD

Dentist, Oral and Maxillofacial Surgery in Newark, New Jersey

NPI Number1982853214
Practice location
150 Bergen St, Uh, Dept Of Oral And Maxillofacial Surgery, Rm C-401, Newark, NJ 07103-2496
Fax
—
Last updated
February 1, 2010

Fredric Carl Mazza is a Dentist, Oral and Maxillofacial Surgery based in Newark, NJ. Fredric Carl Mazza practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Fredric Carl Mazza is 1982853214 and holds a License No. 22DI02379800 (NJ). The current practice location address for Fredric Carl Mazza is 150 Bergen St, Uh, Dept Of Oral And Maxillofacial Surgery, Rm C-401, Newark, NJ 07103-2496 and can be reached out via phone at 973-280-2297.

Provider Profile Details

NPI Number
1982853214
Provider Name
Fredric Carl Mazza
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Uh, Dept Of Oral And Maxillofacial Surgery, Rm C-401, Newark, NJ 07103-2496
Phone Number
973-280-2297
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2008
Last Update Date
February 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Uh, Dept Of Oral And Maxillofacial Surgery, Rm C-401
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-280-2297
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
67 Forest Dr
Pompton Plains, NJ 07444-1516
City
Pompton Plains
State
NJ
Zip
07444-1516
Phone Number
973-280-2297

License Information

License Number
22DI02379800
License State
NJ
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

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. Fredric C Mazza, DMD?

The NPI number of Dr. Fredric C Mazza, DMD is 1982853214. It was assigned on September 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Fredric C Mazza, DMD?

Dr. Fredric C Mazza, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI02379800.

Where does Dr. Fredric C Mazza, DMD practice?

The practice location is 150 Bergen St, Uh, Dept Of Oral And Maxillofacial Surgery, Rm C-401, Newark, NJ 07103-2496. The office can be reached at 973-280-2297 (phone).

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 1982853214 directly on the NPPES registry website.

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