National Provider Identifier
Patrick Jeffrey Bastow, D.D.S
Patrick Jeffrey Bastow, D.D.S is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Canandaigua, NY and a listed phone number of (585) 393-7175.
Profile Overview
- NPI
- 1417998261
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 10, 2006
- Last Updated
- July 10, 2007
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 393-7175
Mailing Address
- 141 Ontario St
- Honeoye Falls, NY 14472-1139
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1417998261
- Entity Type
- Individual
- Last Name
- Bastow
- First Name
- Patrick
- Middle Name
- Jeffrey
- Name Prefix
- Dr.
- Credential
- D.D.S
- Mailing Street Address
- 141 Ontario St
- Mailing City
- Honeoye Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14472-1139
- Mailing Country
- US
- Mailing Phone
- (585) 624-4773
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7175
- Practice Fax
- (585) 393-7195
- Enumeration Date
- June 10, 2006
- Last Updated
- July 10, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)