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PERIODONTAL HEALTH SPECIALISTS NPI 1043431505


NPI Information

NPI: 1043431505
Provider Name: PERIODONTAL HEALTH SPECIALISTS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1815 S CLINTON AVENUE
SUITE 510
ROCHESTER, NY
ZIP 14618
Phone: (585) 473-7600
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PERIODONTAL HEALTH SPECIALISTS is a periodontics dentist in Rochester, NY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODONTAL HEALTH SPECIALISTS NPI is 1043431505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 S CLINTON AVENUE
SUITE 510
ROCHESTER, NY
ZIP 14618
Phone: (585) 473-7600
Fax: (585) 473-7653

The provider's authorized official is Mary Ann Lester .
The authorized official title is Managing Partner Periodontist and has the following contact phone number (585) 473-7600.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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