National Provider Identifier
Hometown Dental Group P.C.
Hometown Dental Group P.C. is listed in the NPPES registry with a primary specialty of Dental Clinic/Center in Rochester, NY and a listed phone number of (585) 227-4390.
Profile Overview
- NPI
- 1780850750
- Provider Type
- Organization
- Primary Specialty
- Dental Clinic/Center
- Enumeration Date
- April 30, 2008
- Last Updated
- September 25, 2023
Practice Location
- 34 Buckman RD
- Rochester, NY 14615-1406
Phone: (585) 227-4390
Specialties
- Dental Clinic/Center (261QD0000X)
Full Record
- NPI
- 1780850750
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Hometown Dental Group P.C.
- Mailing Street Address
- 34 Buckman RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-1406
- Mailing Country
- US
- Mailing Phone
- (585) 227-4390
- Practice Street Address
- 34 Buckman RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-1406
- Practice Country
- US
- Practice Phone
- (585) 227-4390
- Practice Fax
- (585) 227-1549
- Enumeration Date
- April 30, 2008
- Last Updated
- September 25, 2023
- Authorized Official Last Name
- Sussman
- Authorized Official First Name
- Paul
- Authorized Official Title
- Vice President
- Authorized Official Phone
- (585) 227-4390
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Certification Date
- September 25, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Clinic/Center (261QD0000X)