MEDICARE: DR. ROBERT H. IEZMAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	31477	CA

General Provider Information

NPI Number	:	1073593489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT H. IEZMAN D.D.S.

Provider Business Mailing Address
First Line	:	1525 WALNUT ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94709-1512
Country	:	US
Telephone Number	:	510-845-3511
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 WALNUT ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94709-1512
Country	:	US
Telephone Number	:	510-845-3511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1740276286 — ELEPHANT PHARMACY OPERATING CORP
Practice Location Address:

1607 SHATTUCK AVE
BERKELEY, CA
94709-1611

Practice Phone: 510-549-9201
Practice Fax: 510-549-9204

1235113077 — MS. KAREN M ROSE MFT
Practice Location Address:

2000 HEARST AVE STE 203A
BERKELEY, CA
94709-2260

Practice Phone: 510-486-1188
Practice Fax: 720-204-4534

1154373165 — WENDY O. BUFFETT MD
Practice Location Address:

1801 SHATTUCK AVE STE A
BERKELEY, CA
94709-1872

Practice Phone: 888-663-6331
Practice Fax: 415-252-7176

1528001799 — LONGS DRUG STORES CALIFORNIA LLC
Practice Location Address:

1451 SHATTUCK AVE
BERKELEY, CA
94709-1410

Practice Phone: 510-849-0484
Practice Fax: 510-849-1041

1396778106 — SUZANNE PREGERSON MFT
Practice Location Address:

2111 VINE ST , SUITE A
BERKELEY, CA
94709-1576

Practice Phone: 510-548-1237
Practice Fax:

1790710465 — MS. SHIRA STONE MFT
Practice Location Address:

2046 LINCOLN ST , SUITE 4
BERKELEY, CA
94709-2018

Practice Phone: 510-843-1677
Practice Fax: 510-843-1677

Directions to “ DR. ROBERT H. IEZMAN D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.