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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.