NPI 1780803668 · live from the CMS NPI Registry
John William Kizior, D.D.S.,M.S.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Jasper, IN. National Provider Identifier 1780803668, active.
NPI record
| NPI | 1780803668 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2005 St Charles St, Suite 3, Jasper, IN 47546 |
| Practice phone | 812-634-2040 |
| Enumerated | April 25, 2007 |
| Last updated | April 19, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12010318A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.