Puddicombe, Emmanuel Babatunde

Puddicombe, Emmanuel Babatunde is an individual health care provider with primary practice located at 295 Monroe Ave , Rochester NY 14607-3660. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Puddicombe, Emmanuel Babatunde can be contacted via phone (585) 467-4513.

Contact Information

Primary practice address
295 Monroe Ave Rochester NY 14607-3660
Phone: (585) 467-4513
Fax: (585) 467-4665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 053364 New York

Profile Details

NPI number 1447252747
LBN Legal business name Puddicombe, Emmanuel Babatunde
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447252747 NPPES
New York MEDICAID 02605329

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