Legacy Dental Practice Pllc in Rochester - Dentist
Legacy Dental Practice Pllc - NPI 1063678613
Legacy Dental Practice Pllc is a Dentist in Rochester, New York. Legacy Dental Practice Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Legacy Dental Practice Pllc is 1063678613. The last update date is 2008-08-04.
Legacy Dental Practice Pllc's current location address is 31 Erie Canal Dr, Rochester, New York. You can contact this provider via phone number 5857201370. The mailing address for Legacy Dental Practice Pllc is 31 Erie Canal Dr, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legacy Dental Practice Pllc |
|---|---|
| Address | 31 Erie Canal Dr, Rochester, New York |
| Phone Number | 5857201370 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gusmerotti Louis Gary |
| Credentials | DDS |
| Telephone Number | 5857201370 |
NPI Number Detail
| NPI Number | 1063678613 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 31 Erie Canal Dr |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146264602 |
| Phone Number | 5857201370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 53408 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477611432 | NY | NPPES |
Post Comment/ Review Below
What is the unique identifier code issued to Legacy Dental Practice Pllc by the Centers for Medicare & Medicaid Services?
The Legacy Dental Practice Pllc has been assigned the NPI (National Provider Identifier) 1063678613. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Legacy Dental Practice Pllc?
The Legacy Dental Practice Pllc is situated at 31 Erie Canal Dr, in the city of Rochester, state of NY, with the zip code 146264602.
What is Legacy Dental Practice Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Legacy Dental Practice Pllc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Legacy Dental Practice Pllc receive the assignment of its 1063678613 from the Centers for Medicare & Medicaid Services?
The Legacy Dental Practice Pllc was issued its 1063678613 by the Centers for Medicare & Medicaid Services on 2008-08-04.
When was the information regarding Legacy Dental Practice Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Legacy Dental Practice Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-04.