Elmwood Dental Group - Implant And Restoration Group Pc | |
1960 Clinton Ave S Rochester NY 14618-5620 | |
(585) 461-4350 | |
(585) 461-9365 |
Full Name | Elmwood Dental Group - Implant And Restoration Group Pc |
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Speciality | Dentist |
Location | 1960 Clinton Ave S, Rochester, New York |
Authorized Official Name and Position | Sandra G. Nasky (INSURANCE COORDINATOR) |
Authorized Official Contact | 5854614459 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elmwood Dental Group - Implant And Restoration Group Pc 1960 Clinton Ave S Rochester NY 14618-5620 Ph: (585) 461-4350 | Elmwood Dental Group - Implant And Restoration Group Pc 1960 Clinton Ave S Rochester NY 14618-5620 Ph: (585) 461-4350 |
NPI Number | 1245349109 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 10/01/2018 |
Medicare PECOS PAC ID | 3779834791 |
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Medicare Enrollment ID | O20181001001861 |
Identifier | Type | State | Issuer |
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1245349109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | James R Lamar |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1467562934 PECOS PAC ID: 8022312958 Enrollment ID: I20181001002223 |
Provider Name | Michael J Baleno |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1952500514 PECOS PAC ID: 1759685852 Enrollment ID: I20181101001232 |
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Eastman Institute For Oral Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Crittenden Blvd Apt 917, Rochester, NY 14620 Phone: 310-739-5718 | |
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Periodontal Health Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 S Clinton Avenue, Suite 510, Rochester, NY 14618 Phone: 585-473-7600 Fax: 585-473-7653 | |
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