National Provider Identifier
University Of Rochester
University Of Rochester is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 275-5022.
Profile Overview
- NPI
- 1982787537
- Provider Type
- Organization
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- October 24, 2006
- Last Updated
- July 14, 2020
Practice Location
- 625 Elmwood Ave
- Box 683
- Rochester, NY 14620-2913
Phone: (585) 275-5022
Specialties
- General Practice Dentistry (1223G0001X)
- Oral And Maxillofacial Surgery (Dentist) (1223S0112X)
- Orthodontics And Dentofacial Orthopedics Dentistry (1223X0400X)
- Pediatric Dentistry (1223P0221X)
- Periodontics (1223P0300X)
- Prosthodontics (1223P0700X)
Full Record
- NPI
- 1982787537
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- University Of Rochester
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 625 Elmwood Ave
- Mailing Address Line 2
- Box 683
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2913
- Mailing Country
- US
- Mailing Phone
- (585) 275-5022
- Mailing Fax
- (585) 276-0293
- Practice Street Address
- 625 Elmwood Ave
- Practice Address Line 2
- Box 683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-5022
- Practice Fax
- (585) 276-0293
- Enumeration Date
- October 24, 2006
- Last Updated
- July 14, 2020
- Authorized Official Last Name
- Anolik
- Authorized Official First Name
- Adam
- Authorized Official Title
- Cfo
- Authorized Official Phone
- (585) 275-3300
- Organization Subpart
- Yes
- Parent Organization Name
- UNIVERSITY OF ROCHESTER
- Parent Organization TIN
- <UNAVAIL>
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- Taxonomy Group 4
- 193200000X Multi-Specialty Group
- Taxonomy Group 5
- 193200000X Multi-Specialty Group
- Taxonomy Group 6
- 193200000X Multi-Specialty Group
- Certification Date
- July 14, 2020
- Taxonomies
- General Practice Dentistry (1223G0001X), Oral And Maxillofacial Surgery (Dentist) (1223S0112X), Orthodontics And Dentofacial Orthopedics Dentistry (1223X0400X), Pediatric Dentistry (1223P0221X), Periodontics (1223P0300X), Prosthodontics (1223P0700X)
- Other Identifiers
- 00355239 (NY), 7165 (NY, Blue Shield)