Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Philip Vincent Mazzola, DDS

Individual provider Dentist · NPI 1811005705

Dr. Philip Vincent Mazzola, DDS is a Dentist in Nesconset, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

280 Smithtown Blvd
Nesconset, NY 11767-2054
Phone: (631) 588-6754
Fax: (631) 588-1822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 030876 (NY)

Record details

NPI number1811005705
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007

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