National Provider Identifier
Nathaniel Dvarishkis, DDS
Nathaniel Dvarishkis, DDS is listed in the NPPES registry with a primary specialty of Student In An Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.
Profile Overview
- NPI
- 1134614688
- Provider Type
- Individual
- Primary Specialty
- Student In An Organized Health Care Education/Training Program
- Enumeration Date
- June 27, 2018
- Last Updated
- April 02, 2024
Practice Location
- 625 Elmwood Ave # 683
- Rochester, NY 14620-2913
Phone: (585) 275-5051
Specialties
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1134614688
- Entity Type
- Individual
- Last Name
- Dvarishkis
- First Name
- Nathaniel
- Credential
- DDS
- Provider Other Last Name
- Hock
- Provider Other First Name
- Nathaniel
- Provider Other Credential Text
- DDS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 625 Elmwood Ave # 683
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2913
- Mailing Country
- US
- Mailing Phone
- (585) 275-5051
- Practice Street Address
- 625 Elmwood Ave # 683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- June 27, 2018
- Last Updated
- April 02, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 02, 2024
- Taxonomies
- Student In An Organized Health Care Education/Training Program (390200000X)