National Provider Identifier

Avner Phen, DMD

Avner Phen, DMD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.

NPI 1518645951Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1518645951
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
July 06, 2023
Last Updated
July 06, 2023

Practice Location

  • 625 Elmwood Ave # 683
  • Rochester, NY 14620-2913

Phone: (585) 275-5051

Mailing Address

  • 3246 Winton RD S Apt J24
  • Rochester, NY 14623-5921

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1518645951
Entity Type
Individual
Last Name
Phen
First Name
Avner
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
3246 Winton RD S Apt J24
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-5921
Mailing Country
US
Mailing Phone
(639) 571-3666
Practice Street Address
625 Elmwood Ave # 683
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2913
Practice Country
US
Practice Phone
(585) 275-5051
Enumeration Date
July 06, 2023
Last Updated
July 06, 2023
Sex
Male
Sole Proprietor
No
Certification Date
July 06, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)