ROCHESTER FAMILY DENTAL NPI 1922348150

NPI Information

NPI: 1922348150
Provider Name: ROCHESTER FAMILY DENTAL
Classification: Dentist - 1223P0221X
Specialization: Pediatric Dentistry
Entity Type: Organization
Address: 2024 W HENRIETTA RD
SUITE 1A
ROCHESTER, NY
ZIP 14623
Phone: (585) 271-4700

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NPI Details

ROCHESTER FAMILY DENTAL is a pediatric dentistry dentist in Rochester, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ROCHESTER FAMILY DENTAL NPI is 1922348150. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2024 W HENRIETTA RD
SUITE 1A
ROCHESTER, NY
ZIP 14623-355
Phone: (585) 271-4700

The provider's authorized official is Alan Newman .
The authorized official title is Owner and has the following contact phone number (585) 271-4700.

The enumeration date for this NPI number is 2/25/2013 and was last updated on 2/25/2013.

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	1223P0221X	Dentist	Pediatric Dentistry	030884	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00426917	MEDICAID	NEW 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: 3/30/2025

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