National Provider Identifier

Charles Warren Somerville SR., DDS

Charles Warren Somerville SR., DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 442-5500.

NPI 1649296856Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1649296856
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
July 14, 2006
Last Updated
July 08, 2007

Practice Location

  • 890 Westfall RD
  • Suite F
  • Rochester, NY 14618-2610

Phone: (585) 442-5500

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1649296856
Entity Type
Individual
Last Name
Somerville
First Name
Charles
Middle Name
Warren
Name Prefix
Dr.
Name Suffix
SR.
Credential
DDS
Mailing Street Address
890 Westfall RD
Mailing Address Line 2
Suite F
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2610
Mailing Country
US
Mailing Phone
(585) 442-5500
Mailing Fax
(585) 442-5500
Practice Street Address
890 Westfall RD
Practice Address Line 2
Suite F
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2610
Practice Country
US
Practice Phone
(585) 442-5500
Practice Fax
(585) 442-5500
Enumeration Date
July 14, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)