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ROCHESTER PERIODONTAL GROUP PC NPI 1770631277


NPI Information

NPI: 1770631277
Provider Name: ROCHESTER PERIODONTAL GROUP PC

Doing Business As: ROCHESTER PERIODONTAL & DENTAL IMPLANTS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

CLIA Number: 33D2184073

Address:
900 WESTFALL RD STE B
ROCHESTER, NY
ZIP 14618
Phone: (585) 442-0690
Get Directions

ROCHESTER PERIODONTAL GROUP PC is a periodontics dentist in Rochester, NY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ROCHESTER PERIODONTAL GROUP PC NPI is 1770631277. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rochester Periodontal & Dental Implants.

The provider's business location address is:

900 WESTFALL RD STE B
ROCHESTER, NY
ZIP 14618-635
Phone: (585) 442-0690
Fax: (585) 442-8474

The provider's authorized official is Oren Isaac Weiss .
The authorized official title is President and has the following contact phone number (585) 442-0690.

The CLIA number assigned to this NPI record is 33D2184073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/6/2021.


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
11223P0300XDentistPeriodonticsYes

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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