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PARK DENTAL ASSOCIATES PLLC NPI 1215055314


NPI Information

NPI: 1215055314
Provider Name: PARK DENTAL ASSOCIATES, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
880 WESTFALL RD
SUITE C
ROCHESTER, NY
ZIP 14618
Phone: (716) 909-1470
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PARK DENTAL ASSOCIATES, PLLC 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. PARK DENTAL ASSOCIATES, PLLC NPI is 1215055314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

880 WESTFALL RD
SUITE C
ROCHESTER, NY
ZIP 14618-611
Phone: (716) 909-1470

The provider's authorized official is Kathleen Elizabeth Poleon .
The authorized official title is Dentist and has the following contact phone number (716) 909-1470.

The enumeration date for this NPI number is 3/27/2007 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
11223G0001XDentistGeneral Practice053052-1NEW YORKNo
21223G0001XDentistGeneral Practice050613-1NEW YORKYes

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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