| Vincent Vella Dds Pc | |
|
455 Empire Blvd Rochester NY 14609-4403 | |
| (585) 482-8980 | |
| Not Available |
| Full Name | Vincent Vella Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 455 Empire Blvd, Rochester, New York |
| Authorized Official Name and Position | Vincent Vella (OWNER) |
| Authorized Official Contact | 5857469972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Vella Dds Pc 455 Empire Blvd Rochester NY 14609-4403 Ph: () - | Vincent Vella Dds Pc 455 Empire Blvd Rochester NY 14609-4403 Ph: (585) 482-8980 |
| NPI Number | 1881051498 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 01/27/2016 |
| Medicare PECOS PAC ID | 3577860006 |
|---|---|
| Medicare Enrollment ID | O20160331000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881051498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 039655-1 (New York) | Primary |
| Provider Name | Vincent Vella |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528159985 PECOS PAC ID: 2961723127 Enrollment ID: I20160331001101 |
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