| University Dental Faculty Practice Group | |
|
2400 S Clinton Ave Ste H220 Rochester NY 14618-2689 | |
| (585) 341-7177 | |
| (585) 475-9265 |
| Full Name | University Dental Faculty Practice Group |
|---|---|
| Speciality | Dentist |
| Location | 2400 S Clinton Ave Ste H220, Rochester, New York |
| Authorized Official Name and Position | David Levy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5852750485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Faculty Practice Group 625 Elmwood Ave., Box 683 Rochester NY 14620-2913 Ph: (585) 758-0969 | University Dental Faculty Practice Group 2400 S Clinton Ave Ste H220 Rochester NY 14618-2689 Ph: (585) 341-7177 |
| NPI Number | 1306929013 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 9234038415 |
|---|---|
| Medicare Enrollment ID | O20040107000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306929013 | NPI | - | NPPES |
| 5467 | Other | NY | BLUE SHIELD |
| 7309 | Other | NY | BLUE SHIELD |
| 7876 | Other | NY | BLUE SHIELD |
| G0187522590 | Other | NY | BLUE CHOICE |
| 70078 | Other | NY | BLUE SHIELD |
| 5529 | Other | NY | BLUE SHIELD |
| Provider Name | John Vorrasi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427217199 PECOS PAC ID: 6901040153 Enrollment ID: I20160902000287 |
| Provider Name | Junad Khan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689122988 PECOS PAC ID: 9537597174 Enrollment ID: I20200316000099 |
| Provider Name | Sharon Elad |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114215308 PECOS PAC ID: 3173953148 Enrollment ID: I20200416000142 |
| Provider Name | Dina Amin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194271445 PECOS PAC ID: 7618256884 Enrollment ID: I20231130001454 |
Marc G. Johnson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Lynnwood Dr, Rochester, NY 14618 Phone: 585-472-6326 Fax: 585-922-4495 | |
A Smile To Grow, Dentistry For Kids, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 White Spruce Blvd, Rochester, NY 14623 Phone: 585-919-6624 | |
Mark A Lowenguth Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 W Henrietta Rd, Suite C, Rochester, NY 14623 Phone: 585-272-0120 Fax: 585-272-0123 | |
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 | |
Twelve Corners Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Chelmsford Rd, Rochester, NY 14618 Phone: 585-244-1177 | |
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 | |
Small To Tall, Dentistry For Children, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3171 Chili Ave Ste 400, Rochester, NY 14624 Phone: 585-889-1290 Fax: 585-889-1345 |