Provider Demographics
NPI:1952510836
Name:ROBERT N RIZZI DMD LLC
Entity Type:Organization
Organization Name:ROBERT N RIZZI DMD LLC
Other - Org Name:FAMILY COSMETIC AND IMPLANT DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:RIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-276-5330
Mailing Address - Street 1:118 NORTH AVE W
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-5117
Mailing Address - Country:US
Mailing Address - Phone:908-876-5330
Mailing Address - Fax:
Practice Address - Street 1:118 NORTH AVE W
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-5117
Practice Address - Country:US
Practice Address - Phone:908-276-5330
Practice Address - Fax:908-276-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01730001122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty