National Provider Identifier

Emmanuel Babatunde Puddicombe, DDS

Emmanuel Babatunde Puddicombe, DDS is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 467-4513.

NPI 1447252747Rochester, NYDentist

Profile Overview

NPI
1447252747
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
June 01, 2005
Last Updated
October 05, 2012

Practice Location

  • 295 Monroe Ave
  • Rochester, NY 14607-3660

Phone: (585) 467-4513

Mailing Address

  • 8623 E. Main Street
  • PO Box 559
  • Honeoye, NY 14471

Specialties

  • Dentist (122300000X)
Full Record
NPI
1447252747
Entity Type
Individual
Last Name
Puddicombe
First Name
Emmanuel
Middle Name
Babatunde
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
8623 E. Main Street
Mailing Address Line 2
PO Box 559
Mailing City
Honeoye
Mailing State
NY
Mailing ZIP Code
14471
Mailing Country
US
Mailing Phone
(585) 229-2588
Mailing Fax
(585) 229-2496
Practice Street Address
295 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-3660
Practice Country
US
Practice Phone
(585) 467-4513
Practice Fax
(585) 467-4665
Enumeration Date
June 01, 2005
Last Updated
October 05, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)
Other Identifiers
02605329 (NY)