Dr. Leonard Thomas Fazio
D.D.S., P.C. | Dentist
1303 Main St, The Pen And Pencil Building Suite 2, Port Jefferson
New York, 11777-2257
631-474-7477 631-474-7427
Maps & DirectionsDr. Leonard Thomas Fazio is a Port Jefferson, New York based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Leonard Thomas Fazio is
041861 for General Practice Dentistry in New York. His current practice location is
1303 Main St, The Pen And Pencil Building Suite 2, Port Jefferson. Patients can reach him at
631-474-7477.
Dr. Leonard Thomas Fazio is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Leonard Thomas Fazio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Leonard Thomas Fazio |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S., P.C. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1303 Main St, The Pen And Pencil Building Suite 2, Port Jefferson, New York, 11777-2257 |
| Phone: | 631-474-7477 |
| Fax: | 631-474-7427 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1194863134 |
| NPI Enumeration Date: | 02 Feb, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Leonard Thomas Fazio are as mentioned below.
| License Number | Specialization | State | Status | |
| 041861 | General Practice Dentistry | New York | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1303 Main St, The Pen And Pencil Building Suite 2 Port Jefferson, New York |
| Zip: | 11777-2257 |
| Phone Number: | 631-474-7477 |
| Fax Number: | 631-474-7427 |
Patients can reach Dr. Leonard Thomas Fazio at
1303 Main St, The Pen And Pencil Building Suite 2, Port Jefferson, New York or can
call to book an appointment on 631-474-7477.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.