DR. MICHAEL A IZZO (NPI# 1093733115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093733115 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A IZZO |
| Credential | D.D.S. |
| Practice Address |
1310 Warwick Ave Lincoln Park MI 48146-1721 |
| Practice Telephone | 3133867660 |
| Practice Fax Number | 3133868980 |
| Mailing Telephone | 3133867660 |
| Mailing Fax Number | 3133868980 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D1503903 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1710974985 | Michael A Izzo | Podiatrist | 1045 Wehrle Dr, Williamsville, NY 14221-7723 | 2005-10-04 |
| 1770077612 | Michael Izzo | Internal Medicine | 110 Irving St. Nw, Dept. of Ophthalmology, Washington, DC 20010 | 2018-06-14 |
| 1356621072 | Michael Izzo | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2011-08-25 |
| Street Address |
1310 WARWICK AVE |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 48146-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263257 | Michael A. Izzo Dds PC | Dentist | 1310 Warwick Ave, Lincoln Park, MI 48146-1721 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967251 | Luisa Sofia Amaya | Behavior Technician | 1360 Porter Ave, Lincoln Park, MI 48146 | 2020-06-17 |
| 1851854129 | Abhi Patel | Physical Therapist | 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 | 2019-04-12 |
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1326568221 | Priscilla Cano | Social Worker | 1600 Porter, Detroit, MI 48146 | 2017-06-21 |
| 1952650194 | Melissa Margaret Belinc | Psychologist | 26300 Outer Drive, Lincoln Park, MI 48146 | 2012-09-04 |
| 1497011746 | Richard John Daniels | Physical Therapy Assistant | 1538 Morris, Lincoln Park, MI 48146 | 2012-04-11 |
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1033491162 | Heidi Bremer | Social Worker | 26180 West Outer Drive, Lincoln Park, MI 48146 | 2011-09-14 |
| 1871823526 | Richard Dale Mott | Counselor | 1564 Arlington, Lincoln Park, LA 48146 | 2009-12-31 |
| 1386801777 | Laura Ann Kaakati-weber | Psychologist | 26184 West Outer Drive, Lincoln Park, MI 48146 | 2008-05-22 |
| Find all providers in zip 48146 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285030569 | Beautiful Smiles Dentistry Inc. | Dentist | 166 Main St Ste 1b, Lincoln Park, NJ 07035-1791 | 2014-11-13 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1538285150 | Paul M Polyviou Dds, P.C. | Dentist | 3784 Dix Hwy, Lincoln Park, MI 48146 | 2007-03-22 |
| 1366568230 | Paul M Polyviou | Dentist | 3784 Dix Toledo Rd, Lincoln Park, MI 48146 | 2007-03-22 |
| 1356473284 | Joseph Arthur Padesky | Dentist | 1880 Emmons Blvd, Lincoln Park, MI 48146-3866 | 2007-03-09 |
| 1124166459 | Anthony Wayne Stines | Dentist | 3577 Fort St, Lincoln Park, MI 48146-4114 | 2007-02-01 |
| 1316021561 | Fouad Ashhar Khan | Dentist | 3257 Fort St, Lincoln Park, MI 48146-3632 | 2006-10-24 |
| 1780775593 | Lawrence Mark Gerstein | Dentist | 3830 Fort St, Lincoln Park, MI 48146-4107 | 2006-09-27 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1003929662 | The Dental Clinic PC | Dentist | 1359 Champaign, Lincoln Park, MI 48146-3303 | 2006-08-17 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 48146 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.