University Dental Faculty Practice Group in Rochester - Pediatric Dentistry
University Dental Faculty Practice Group - NPI 1306929013
University Dental Faculty Practice Group is a Pediatric Dentistry in Rochester, New York. University Dental Faculty Practice Group practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for University Dental Faculty Practice Group is 1306929013. The last update date is 2022-06-22.
University Dental Faculty Practice Group's current location address is 625 Elmwood Ave., Box 683, Rochester, New York. You can contact this provider via phone number 5857580969 and fax number 5854759265. The mailing address for University Dental Faculty Practice Group is 625 Elmwood Ave., Box 683, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Dental Faculty Practice Group |
|---|---|
| Address | 625 Elmwood Ave., Box 683, Rochester, New York |
| Phone Number | 5857580969 |
| Fax Number | 5854759265 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Levy David |
| Credentials | DMD,MS |
| Telephone Number | 5852750485 |
NPI Number Detail
| NPI Number | 1306929013 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2022-06-22 |
Provider Mailing Address Detail
| Address | 625 Elmwood Ave., Box 683 |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146202913 |
| Phone Number | 5857580969 |
| Fax Number | 5854759265 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5467 | NY | BLUE SHIELD | |
| 7309 | NY | BLUE SHIELD | |
| 7876 | NY | BLUE SHIELD | |
| G0187522590 | NY | BLUE CHOICE | |
| 70078 | NY | BLUE SHIELD | |
| 5529 | NY | BLUE SHIELD |
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What is the unique 10-digit identifier code issued to University Dental Faculty Practice Group by the Centers for Medicare & Medicaid Services?
The University Dental Faculty Practice Group has been assigned the NPI (National Provider Identifier) 1306929013 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the University Dental Faculty Practice Group's physical address?
The University Dental Faculty Practice Group is physically located at 625 Elmwood Ave., Box 683, in the city of Rochester, NY, with the postal code 146202913.
What is University Dental Faculty Practice Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The University Dental Faculty Practice Group's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did University Dental Faculty Practice Group receive its 1306929013 assignment?
The University Dental Faculty Practice Group was assigned its 1306929013 on 2006-10-24, which is the date when this unique identifier was issued to the organization.
When was the University Dental Faculty Practice Group's information last updated?
The University Dental Faculty Practice Group's information was last updated on 2022-06-22.
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