Roman Izmailov is a Dentist in Pomona, New York. Roman Izmailov practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roman Izmailov is 1487644456. The last update date is 2012-10-05.
Roman Izmailov's current location address is 5c Medical Park Drive, Pomona, New York. You can contact this provider via phone number 8453649400 and fax number 8453640284. The mailing address for Roman Izmailov is 5c Medical Park Drive, Pomona, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roman Izmailov |
|---|---|
| Address | 5c Medical Park Drive, Pomona, New York |
| Phone Number | 8453649400 |
| Fax Number | 8453640284 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487644456 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
| Address | 5c Medical Park Drive |
|---|---|
| City | Pomona |
| State | New York (NY) |
| Post Code | 109702443 |
| Phone Number | 8453649400 |
| Fax Number | 8453640284 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 220102233400 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30686 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Roman Izmailov by the Centers for Medicare & Medicaid Services (CMS)?
The Roman Izmailov has been assigned the NPI (National Provider Identifier) 1487644456. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Roman Izmailov's facilities are geographically located?
The facilities of Roman Izmailov are physically situated at the following location: 5C Medical Park Drive, Pomona, NY, 109702443.
What is Roman Izmailov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roman Izmailov's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487644456 to Roman Izmailov?
The Roman Izmailov received its 1487644456 assignment from the Centers for Medicare & Medicaid Services on 2005-10-21.
When was the information regarding Roman Izmailov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roman Izmailov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-05.
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