Physician Compare National (NPI:1902005002)

HEALTHCARE PROVIDER: JOSHUA MICHAEL IGNATOWICZ DMD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902005002
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517398738
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200504000090
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IGNATOWICZ
	Individual professional last name
Provider First Name	JOSHUA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIV OF NEVADA, LAS VEGAS SCHOOL OF DENTAL MED
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	DENTIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ORAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ORAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1070 W HORIZON RIDGE PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 121
	Group Practice or individual's line 2 address
City	HENDERSON
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	890126019
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7024329100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y