Periodontal Health Specialists in Rochester - Periodontics
Periodontal Health Specialists - NPI 1043431505
Periodontal Health Specialists is a Periodontics in Rochester, New York. Periodontal Health Specialists practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Health Specialists is 1043431505. The last update date is 2020-08-22.
Periodontal Health Specialists's current location address is 1815 S Clinton Avenue, Rochester, New York. You can contact this provider via phone number 5854737600 and fax number 5854737653. The mailing address for Periodontal Health Specialists is 1815 S Clinton Avenue, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal Health Specialists |
|---|---|
| Address | 1815 S Clinton Avenue, Rochester, New York |
| Phone Number | 5854737600 |
| Fax Number | 5854737653 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Lester Mary Ann |
| Credentials | DMD |
| Telephone Number | 5854737600 |
NPI Number Detail
| NPI Number | 1043431505 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1815 S Clinton Avenue |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 14618 |
| Phone Number | 5854737600 |
| Fax Number | 5854737653 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Post Comment/ Review Below
What is the Periodontal Health Specialists's 1043431505?
The Periodontal Health Specialists's NPI (National Provider Identifier) Number is 1043431505. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Periodontal Health Specialists's facilities are geographically located?
The facilities of Periodontal Health Specialists are physically situated at the following location: 1815 S Clinton Avenue, Rochester, NY, 14618.
What is the Periodontal Health Specialists's specialty and taxonomy code?
The Periodontal Health Specialists's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043431505 to Periodontal Health Specialists?
The Centers for Medicare & Medicaid Services originally issued the 1043431505 to Periodontal Health Specialists on 2007-05-01.
When was the Periodontal Health Specialists's information last updated?
The Periodontal Health Specialists's information was last updated on 2020-08-22.