LAC DE VILLE DENTAL PRACTICE PLLC NPI 1790345791

NPI Information

NPI: 1790345791
Provider Name: LAC DE VILLE DENTAL PRACTICE, PLLC

Former Legal Business Name: BRIGHTON TOWN DENTAL MANAGEMENT, LLC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2101 LAC DE VILLE BLVD
ROCHESTER, NY
ZIP 14618
Phone: (585) 271-6300
Get Directions

LAC DE VILLE DENTAL PRACTICE, PLLC is a dental clinic center in Rochester, NY. LAC DE VILLE DENTAL PRACTICE, PLLC NPI is 1790345791. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Brighton Town Dental Management, Llc.

The provider's business location address is:

2101 LAC DE VILLE BLVD
ROCHESTER, NY
ZIP 14618-659
Phone: (585) 271-6300
Fax: (585) 271-6303

The provider's authorized official is Amy Ames .
The authorized official title is Owner and has the following contact phone number (858) 603-9917.

The enumeration date for this NPI number is 6/20/2019 and was last updated on 6/19/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »