National Provider Identifier

Luis Alberto Mendez Chagoya, DDS

Luis Alberto Mendez Chagoya, DDS 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 1598468928Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1598468928
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 24, 2023
Last Updated
April 14, 2023

Practice Location

  • 625 Elmwood Avenue
  • Rochester, NY 14620

Phone: (585) 275-5051

Mailing Address

  • 332 Quinby RD
  • Rochester, NY 14623-1226

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1598468928
Entity Type
Individual
Last Name
Mendez Chagoya
First Name
Luis
Middle Name
Alberto
Credential
DDS
Mailing Street Address
332 Quinby RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-1226
Mailing Country
US
Mailing Phone
(585) 350-6623
Practice Street Address
625 Elmwood Avenue
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620
Practice Country
US
Practice Phone
(585) 275-5051
Enumeration Date
March 24, 2023
Last Updated
April 14, 2023
Sex
Male
Sole Proprietor
No
Certification Date
April 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)