National Provider Identifier
East Avenue Dentistry PLLC
East Avenue Dentistry PLLC is listed in the NPPES registry with a primary specialty of Dental Clinic/Center in Rochester, NY and a listed phone number of (585) 482-5504.
Profile Overview
- NPI
- 1669649166
- Provider Type
- Organization
- Primary Specialty
- Dental Clinic/Center
- Enumeration Date
- May 13, 2008
- Last Updated
- May 13, 2008
Practice Location
- 1641 East Ave
- Rochester, NY 14610-1616
Phone: (585) 482-5504
Specialties
- Dental Clinic/Center (261QD0000X)
Full Record
- NPI
- 1669649166
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- East Avenue Dentistry PLLC
- Mailing Street Address
- 1641 East Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14610-1616
- Mailing Country
- US
- Mailing Phone
- (585) 482-5504
- Mailing Fax
- (585) 482-5507
- Practice Street Address
- 1641 East Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14610-1616
- Practice Country
- US
- Practice Phone
- (585) 482-5504
- Practice Fax
- (585) 482-5507
- Enumeration Date
- May 13, 2008
- Last Updated
- May 13, 2008
- Authorized Official Last Name
- Rosen
- Authorized Official First Name
- Harry
- Authorized Official Middle Name
- Norman
- Authorized Official Title
- Member
- Authorized Official Phone
- (585) 586-5480
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- D.D.S.
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Clinic/Center (261QD0000X)