National Provider Identifier
Scott Richard Gergelis
Scott Richard Gergelis is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Fairport, NY and a listed phone number of (585) 223-8690.
Profile Overview
- NPI
- 1417585761
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 31, 2020
- Last Updated
- December 11, 2024
Practice Location
- 110 Cross Keys Office Park
- Fairport, NY 14450-3509
Phone: (585) 223-8690
Mailing Address
- 52 Chasewood Ln
- East Amherst, NY 14051-1813
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1417585761
- Entity Type
- Individual
- Last Name
- Gergelis
- First Name
- Scott
- Middle Name
- Richard
- Mailing Street Address
- 52 Chasewood Ln
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1813
- Mailing Country
- US
- Mailing Phone
- (716) 913-0193
- Practice Street Address
- 110 Cross Keys Office Park
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3509
- Practice Country
- US
- Practice Phone
- (585) 223-8690
- Enumeration Date
- March 31, 2020
- Last Updated
- December 11, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)