University Dental Faculty Practice Group

LBN: University Dental Faculty Practice Group
University Dental Faculty Practice Group is an health care organization with primary practice located at 2400 S Clinton Ave Ste H220 , Rochester NY 14618-2689. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. University Dental Faculty Practice Group can be contacted via phone (585) 341-7177, or through Levy, David via phone (585) 275-0485.

Contact Information

Primary practice address
2400 S Clinton Ave Ste H220 Rochester NY 14618-2689
Phone: (585) 341-7177
Fax: (585) 475-9265
Website:
Map and Directions
Authorized official contact:
Name: Levy, David DMD,MS
Phone: (585) 275-0485

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1306929013
LBN Legal business name University Dental Faculty Practice Group
DBA Doing business as
Authorized official Levy, David DMD,MS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Jun 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306929013 NPPES
New York Other 5467 BLUE SHIELD
New York Other 7309 BLUE SHIELD
New York Other 7876 BLUE SHIELD
New York Other G0187522590 BLUE SHIELD
New York Other 70078 BLUE SHIELD
New York Other 5529 BLUE SHIELD

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