National Provider Identifier
Eastman Institute For Oral Health
Eastman Institute For Oral Health is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (310) 739-5718.
Profile Overview
- NPI
- 1023490257
- Provider Type
- Organization
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 24, 2015
- Last Updated
- June 24, 2015
Practice Location
- 60 Crittenden Blvd Apt 917
- Rochester, NY 14620-4046
Phone: (310) 739-5718
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1023490257
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Eastman Institute For Oral Health
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 60 Crittenden Blvd Apt 917
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4046
- Mailing Country
- US
- Mailing Phone
- (310) 739-5718
- Practice Street Address
- 60 Crittenden Blvd Apt 917
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4046
- Practice Country
- US
- Practice Phone
- (310) 739-5718
- Enumeration Date
- June 24, 2015
- Last Updated
- June 24, 2015
- Authorized Official Last Name
- Buckholz
- Authorized Official First Name
- Vanessa
- Authorized Official Title
- Registrar
- Authorized Official Phone
- (585) 275-9801
- Organization Subpart
- Yes
- Parent Organization Name
- UNIVERSITY OF ROCHESTER
- Parent Organization TIN
- <UNAVAIL>
- Authorized Official Name Prefix Text
- Mrs.
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomies
- General Practice Dentistry (1223G0001X)