National Provider Identifier
Diana Maria Villanueva
Diana Maria Villanueva is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 636-0555.
Profile Overview
- NPI
- 1568042877
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 11, 2021
- Last Updated
- August 29, 2022
Practice Location
- 1655 Elmwood Ave Ste 215
- Rochester, NY 14620-3426
Phone: (585) 636-0555
Specialties
- General Practice Dentistry (1223G0001X)
- Dentist (122300000X)
- General Practice Dentistry (1223G0001X)
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1568042877
- Entity Type
- Individual
- Last Name
- Villanueva
- First Name
- Diana
- Middle Name
- Maria
- Name Prefix
- MS.
- Mailing Street Address
- 1655 Elmwood Ave Ste 215
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3426
- Mailing Country
- US
- Mailing Phone
- (585) 636-0555
- Practice Street Address
- 1655 Elmwood Ave Ste 215
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3426
- Practice Country
- US
- Practice Phone
- (585) 636-0555
- Enumeration Date
- April 11, 2021
- Last Updated
- August 29, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 4
- 193400000X Multiple Single Specialty Group
- Certification Date
- August 29, 2022
- Taxonomies
- General Practice Dentistry (1223G0001X), Dentist (122300000X), General Practice Dentistry (1223G0001X), Student In An Organized Health Care Education/Training Program (390200000X)