National Provider Identifier
Western New York Dental Group,PC
Western New York Dental Group,PC is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 865-2200.
Profile Overview
- NPI
- 1619039773
- Provider Type
- Organization
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- December 15, 2006
- Last Updated
- August 22, 2020
Practice Location
- 1510 Ridge RD W
- Rochester, NY 14615-2405
Phone: (585) 865-2200
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1619039773
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Western New York Dental Group,PC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 1510 Ridge RD W
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-2405
- Mailing Country
- US
- Mailing Phone
- (585) 865-2200
- Mailing Fax
- (585) 865-6693
- Practice Street Address
- 1510 Ridge RD W
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-2405
- Practice Country
- US
- Practice Phone
- (585) 865-2200
- Practice Fax
- (585) 865-6693
- Enumeration Date
- December 15, 2006
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Braunstein
- Authorized Official First Name
- Steven
- Authorized Official Title
- PC Assistant Secretary
- Authorized Official Phone
- (716) 634-4679
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- D.D.S.
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)