Diversified Dental Service in Rochester - General Practice

Diversified Dental Service - NPI 1023102316

Diversified Dental Service is a General Practice in Rochester, New York. Diversified Dental Service practices all healthcare services and medical treatments related to General Practice. The NPI Number for Diversified Dental Service is 1023102316. The last update date is 2008-08-12.

Diversified Dental Service's current location address is 2024 W Henrietta Rd, Rochester, New York. You can contact this provider via phone number 5852720120 and fax number 5852720123. The mailing address for Diversified Dental Service is 2024 W Henrietta Rd, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Diversified Dental Service
Address 2024 W Henrietta Rd, Rochester, New York
Phone Number 5852720120
Fax Number 5852720123
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST/OW
Authorized Official Name Lowenguth Allen Mark
Credentials DDS
Telephone Number 5852720120

NPI Number Detail

NPI Number 1023102316
Provider Enumeration Date 2006-10-03
Last Updated Date 2008-08-12

Provider Mailing Address Detail

Address 2024 W Henrietta Rd
City Rochester
State New York (NY)
Post Code 146231355
Phone Number 5852720120
Fax Number 5852720123

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 041406-01
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Diversified Dental Service

What is the unique identification code assigned to Diversified Dental Service by the Centers for Medicare & Medicaid Services?

The Diversified Dental Service has been issued the NPI (National Provider Identifier) 1023102316. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Diversified Dental Service's facilities are situated?

The facilities of Diversified Dental Service are physically located at the following address: 2024 W Henrietta Rd, Rochester, NY, 146231355.

What is Diversified Dental Service's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Diversified Dental Service's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When was the Diversified Dental Service's 1023102316 issued?

The Diversified Dental Service's 1023102316 was issued on 2006-10-03.

As of what date was the information pertaining to Diversified Dental Service, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Diversified Dental Service, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-12.

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