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ROME FAMILY DENTAL SERVICE P.C. NPI 1114080041


NPI Information

NPI: 1114080041
Provider Name: ROME FAMILY DENTAL SERVICE P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
215 NORTH WASHINGTON ST.
ROME, NY
ZIP 13440
Phone: (315) 339-5830
Get Directions

ROME FAMILY DENTAL SERVICE P.C. is a general practice dentist in Rome, 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. ROME FAMILY DENTAL SERVICE P.C. NPI is 1114080041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 NORTH WASHINGTON ST.
ROME, NY
ZIP 13440
Phone: (315) 339-5830
Fax: (315) 337-8409

The provider's authorized official is Albino Nicholas Ballini .
The authorized official title is President and has the following contact phone number (315) 339-5830.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 10/15/2008.


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
1122300000XDentist044155NEW YORKNo
21223G0001XDentistGeneral Practice030067NEW 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
101382856MEDICAIDNEW 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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