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GENTLE DENTAL CARE OF ROCHESTER PC NPI 1134335466


NPI Information

NPI: 1134335466
Provider Name: GENTLE DENTAL CARE OF ROCHESTER PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
295 MONROE AVE
ROCHESTER, NY
ZIP 14607
Phone: (585) 467-4513
Get Directions

GENTLE DENTAL CARE OF ROCHESTER PC is a general practice dentist in Rochester, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GENTLE DENTAL CARE OF ROCHESTER PC NPI is 1134335466. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

295 MONROE AVE
ROCHESTER, NY
ZIP 14607-660
Phone: (585) 467-4513
Fax: (585) 467-4665

The provider's authorized official is Manuel Alejandro Botana .
The authorized official title is Owner and has the following contact phone number (585) 467-4513.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 7/26/2013.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102646986MEDICAIDNEW YORK
202901348MEDICAIDNEW YORK
302667485MEDICAIDNEW YORK
402808359MEDICAIDNEW YORK
501431401MEDICAIDNEW YORK
602289081MEDICAIDNEW YORK

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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