National Provider Identifier
Stonegate Oral Surgery, LLP
Stonegate Oral Surgery, LLP is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Rochester, NY and a listed phone number of (585) 254-5360.
Profile Overview
- NPI
- 1194987008
- Provider Type
- Organization
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- July 01, 2008
- Last Updated
- May 19, 2015
Practice Location
- 2005 Lyell Ave
- Suite 210
- Rochester, NY 14606-2323
Phone: (585) 254-5360
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1194987008
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Stonegate Oral Surgery, LLP
- Mailing Street Address
- 2005 Lyell Ave
- Mailing Address Line 2
- Suite 210
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-2323
- Mailing Country
- US
- Mailing Phone
- (585) 254-5360
- Practice Street Address
- 2005 Lyell Ave
- Practice Address Line 2
- Suite 210
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-2323
- Practice Country
- US
- Practice Phone
- (585) 254-5360
- Enumeration Date
- July 01, 2008
- Last Updated
- May 19, 2015
- Authorized Official Last Name
- Cassara
- Authorized Official First Name
- Alan
- Authorized Official Middle Name
- S
- Authorized Official Title
- Partner
- Authorized Official Phone
- (585) 254-5360
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- DMD
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- Taxonomy Group 2
- 193400000X Multiple Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X), Oral and Maxillofacial Surgery (Dentist) (1223S0112X)