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UNIVERSITY DENTAL FACULTY PRACTICE GROUP NPI 1306929013


NPI Information

NPI: 1306929013
Provider Name: UNIVERSITY DENTAL FACULTY PRACTICE GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2400 S CLINTON AVE STE H220
ROCHESTER, NY
ZIP 14618
Phone: (585) 341-7177
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UNIVERSITY DENTAL FACULTY PRACTICE GROUP 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. UNIVERSITY DENTAL FACULTY PRACTICE GROUP NPI is 1306929013. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 S CLINTON AVE STE H220
ROCHESTER, NY
ZIP 14618-689
Phone: (585) 341-7177
Fax: (585) 475-9265

The provider's authorized official is David Levy .
The authorized official title is Medical Director and has the following contact phone number (585) 275-0485.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 6/22/2022.


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 SurgeryNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223P0700XDentistProsthodonticsNo
41223G0001XDentistGeneral PracticeYes
51223P0221XDentistPediatric DentistryNo
61223P0300XDentistPeriodonticsNo

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
15529OTHERNEW YORKBLUE SHIELD
270078OTHERNEW YORKBLUE SHIELD
35467OTHERNEW YORKBLUE SHIELD
4G0187522590OTHERNEW YORKBLUE CHOICE
57309OTHERNEW YORKBLUE SHIELD
67876OTHERNEW YORKBLUE SHIELD

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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