National Provider Identifier

Petrica Rouse

Petrica Rouse is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 368-3800.

NPI 1639539844Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1639539844
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
March 01, 2016
Last Updated
August 09, 2018

Practice Location

  • 89 Genesee St Fl 2
  • Rochester, NY 14611

Phone: (585) 368-3800

Mailing Address

  • 89 Genesee St Fl 2
  • Rochester, NY 14611-3201

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1639539844
Entity Type
Individual
Last Name
Rouse
First Name
Petrica
Mailing Street Address
89 Genesee St Fl 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3201
Mailing Country
US
Mailing Phone
(585) 368-3800
Mailing Fax
(585) 368-3801
Practice Street Address
89 Genesee St Fl 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611
Practice Country
US
Practice Phone
(585) 368-3800
Practice Fax
(585) 368-3801
Enumeration Date
March 01, 2016
Last Updated
August 09, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
04998683 (NY)