Roman Izmailov is a Pomona, New York based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Roman Izmailov is 220102233400 for Dentistry in New Jersey. His current practice location is 5c Medical Park Drive, Pomona. Patients can reach him at 845-364-9400.
Roman Izmailov 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:
Roman Izmailov 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:
Roman Izmailov
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
5c Medical Park Drive, Pomona, New York, 10970-2443
Phone:
845-364-9400
Fax:
845-364-0284
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:
1487644456
NPI Enumeration Date:
21 Oct, 2005
NPI Last Update On:
05 Oct, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roman Izmailov are as mentioned below.
License Number
Specialization
State
Status
220102233400
Dentistry
New Jersey
Primary
047203
Dentistry
New York
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Roman Izmailov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0030686
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5c Medical Park Drive, Pomona, New York
Zip:
10970-2443
Phone Number:
845-364-9400
Fax Number:
845-364-0284
Patients can reach Roman Izmailov at 5c Medical Park Drive, Pomona, New York or can call to book an appointment on 845-364-9400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.