Dr John L Mazzola, DDS is a
Dentist - General Practice based in Blue Point, New York. Dr John L Mazzola is licensed to practice in New York (license number 040103) and his current practice location is
193 Blue Point Avenue, Blue Point, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 363-7040.
NPI number for Dr John L Mazzola is 1568672343 and his current mailing address is 193 Blue Point Avenue, Blue Point, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568672343.
Healthcare Provider's Profile
Full Name | Dr John L Mazzola |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 193 Blue Point Avenue, Blue Point, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568672343
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John L Mazzola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568672343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 040103 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John L Mazzola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John L Mazzola, DDS 193 Blue Point Avenue, Blue Point, NY 11715-1222 Ph: (631) 363-7040 | Dr John L Mazzola, DDS 193 Blue Point Avenue, Blue Point, NY 11715-1222 Ph: (631) 363-7040 |
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