National Provider Identifier
Cianciola & Beach Periodontal Group
Cianciola & Beach Periodontal Group is listed in the NPPES registry with a primary specialty of Periodontics in Rochester, NY and a listed phone number of (585) 458-5456.
Profile Overview
- NPI
- 1437174232
- Provider Type
- Organization
- Primary Specialty
- Periodontics
- Enumeration Date
- July 13, 2006
- Last Updated
- August 22, 2020
Practice Location
- 2005 Lyell Ave
- Suite 120
- Rochester, NY 14606-2323
Phone: (585) 458-5456
Specialties
- Periodontics (1223P0300X)
Full Record
- NPI
- 1437174232
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Cianciola & Beach Periodontal Group
- Mailing Street Address
- 2005 Lyell Ave
- Mailing Address Line 2
- Suite 120
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-2323
- Mailing Country
- US
- Mailing Phone
- (585) 458-5456
- Mailing Fax
- (585) 458-9782
- Practice Street Address
- 2005 Lyell Ave
- Practice Address Line 2
- Suite 120
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-2323
- Practice Country
- US
- Practice Phone
- (585) 458-5456
- Practice Fax
- (585) 458-9782
- Enumeration Date
- July 13, 2006
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Cianciola
- Authorized Official First Name
- Louis
- Authorized Official Middle Name
- J.
- Authorized Official Title
- Senior Partner
- Authorized Official Phone
- (585) 458-5456
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- D.D.S.,M.S.
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Periodontics (1223P0300X)