| Rochester Family Dental | |
|
2024 W Henrietta Rd Suite 1a Rochester NY 14623-1355 | |
| (585) 271-4700 | |
| Not Available |
| Full Name | Rochester Family Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2024 W Henrietta Rd, Rochester, New York |
| Authorized Official Name and Position | Alan Newman (OWNER) |
| Authorized Official Contact | 5852714700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Family Dental 2024 W Henrietta Rd Suite 1a Rochester NY 14623-1355 Ph: (585) 271-4700 | Rochester Family Dental 2024 W Henrietta Rd Suite 1a Rochester NY 14623-1355 Ph: (585) 271-4700 |
| NPI Number | 1922348150 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922348150 | NPI | - | NPPES |
| 00426917 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 030884 (New York) | Primary |
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