National Provider Identifier

Gentle Dental Care Of Rochester PC

Gentle Dental Care Of Rochester PC is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 467-4513.

NPI 1134335466Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1134335466
Provider Type
Organization
Primary Specialty
General Practice Dentistry
Enumeration Date
May 15, 2007
Last Updated
July 26, 2013

Practice Location

  • 295 Monroe Ave
  • Rochester, NY 14607-3660

Phone: (585) 467-4513

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1134335466
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Gentle Dental Care Of Rochester PC
Mailing Street Address
295 Monroe Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-3660
Mailing Country
US
Mailing Phone
(585) 467-4513
Mailing Fax
(585) 467-4665
Practice Street Address
295 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-3660
Practice Country
US
Practice Phone
(585) 467-4513
Practice Fax
(585) 467-4665
Enumeration Date
May 15, 2007
Last Updated
July 26, 2013
Authorized Official Last Name
Botana
Authorized Official First Name
Manuel
Authorized Official Middle Name
Alejandro
Authorized Official Title
Owner
Authorized Official Phone
(585) 467-4513
Organization Subpart
No
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)
Other Identifiers
02289081 (NY), 02646986 (NY), 02667485 (NY), 01431401 (NY), 02808359 (NY), 02901348 (NY)