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WESTERN NEW YORK DENTAL GROUPPC NPI 1619039773


NPI Information

NPI: 1619039773
Provider Name: WESTERN NEW YORK DENTAL GROUP,PC

Former Legal Business Name: DENTAL ASSOCIATES OF ROCHESTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1510 RIDGE RD W
ROCHESTER, NY
ZIP 14615
Phone: (585) 865-2200
Get Directions

WESTERN NEW YORK DENTAL GROUP,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. WESTERN NEW YORK DENTAL GROUP,PC NPI is 1619039773. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dental Associates Of Rochester.

The provider's business location address is:

1510 RIDGE RD W
ROCHESTER, NY
ZIP 14615-405
Phone: (585) 865-2200
Fax: (585) 865-6693

The provider's authorized official is Steven Braunstein .
The authorized official title is Pc Assistant Secretary and has the following contact phone number (716) 634-4679.

The enumeration date for this NPI number is 12/15/2006 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 Practice032062NEW 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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