Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN RIECE FAZZOLARI, DMD, MD
ActiveJUSTIN RIECE FAZZOLARI, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in NEW YORK, New York. NPI 1295296168 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · NEW YORK, NY
Registration Details
- NPI Number
- 1295296168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2019 (7.3478668696519 yrs)
- Last Updated
- Aug 19, 2025
- Licenses
-
22DI03028700 (NJ)065003 (NY)
Practice Information
- Address
-
200 W 57TH ST STE 804NEW YORK, NY, 100193217Browse NY providers · Browse ZIP 10019
- Phone
- 6468959680
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| DAVID BEHRMAN | MD | 1609876671 |
| DR. JAY P GOLDSMITH | DMD | 1780670745 |
| DR. JAMES YU-JEN SU | D.D.S. | 1710976923 |
| DR. STEVEN JOSEPH CALDRONEY | DDS, MD | 1083603450 |
| DR. BOLAJI OLUSOLA OGUNDARE | DDS | 1831170042 |
| DR. MICHAEL D. TURNER | DDS, MD | 1760463137 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.