National Provider Identifier

Kenneth R, Ronzo, DDS

Kenneth R, Ronzo, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 467-2745.

NPI 1053961078Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1053961078
Provider Type
Organization
Primary Specialty
General Practice Dentistry
Enumeration Date
September 12, 2019
Last Updated
September 12, 2019

Practice Location

  • 2615 Culver RD Ste 200
  • Rochester, NY 14609-1716

Phone: (585) 467-2745

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1053961078
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Kenneth R, Ronzo, DDS
Mailing Street Address
2615 Culver RD Ste 200
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1716
Mailing Country
US
Mailing Phone
(585) 467-2745
Mailing Fax
(585) 467-5683
Practice Street Address
2615 Culver RD Ste 200
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1716
Practice Country
US
Practice Phone
(585) 467-2745
Enumeration Date
September 12, 2019
Last Updated
September 12, 2019
Authorized Official Last Name
Ronzo
Authorized Official First Name
Kenneth
Authorized Official Middle Name
R
Authorized Official Title
Owner
Authorized Official Phone
(585) 467-2745
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
DDS
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)