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STONEGATE ORAL SURGERY LLP NPI 1194987008


NPI Information

NPI: 1194987008
Provider Name: STONEGATE ORAL SURGERY, LLP
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2005 LYELL AVE
SUITE 210
ROCHESTER, NY
ZIP 14606
Phone: (585) 254-5360
Get Directions

STONEGATE ORAL SURGERY, LLP is an oral and maxillofacial surgery dentist in Rochester, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. STONEGATE ORAL SURGERY, LLP NPI is 1194987008. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2005 LYELL AVE
SUITE 210
ROCHESTER, NY
ZIP 14606-323
Phone: (585) 254-5360

The provider's authorized official is Alan S Cassara .
The authorized official title is Partner and has the following contact phone number (585) 254-5360.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 5/19/2015.


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
11223S0112XDentistOral and Maxillofacial Surgery035902NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery033748-1NEW YORKYes

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
1J100023066MEDICARE UPINNEW 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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