Mazzola, John L

Mazzola, John L is an individual health care provider with primary practice located at 193 Blue Point Avenue , Blue Point NY 11715-1222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mazzola, John L can be contacted via phone (631) 363-7040.

Contact Information

Primary practice address
193 Blue Point Avenue Blue Point NY 11715-1222
Fax: (631) 363-7046
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 040103 New York

Profile Details

NPI number 1568672343
LBN Legal business name Mazzola, John L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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