Izzi, Jason Roger

Izzi, Jason Roger is an sole proprietor health care provider with primary practice located at 1351 Smith St , North Providence RI 02911-3340. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Izzi, Jason Roger can be contacted via phone (401) 353-2045.

Contact Information

Primary practice address
1351 Smith St North Providence RI 02911-3340
Phone: (401) 353-2045
Fax: (401) 354-8488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2581 Rhode Island

Profile Details

NPI number 1477576106
LBN Legal business name Izzi, Jason Roger
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477576106 NPPES
Rhode Island Other 8761-8 BLUE CROSS
Rhode Island MEDICAID JI27223 BLUE CROSS

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