| Rochester Oral Surgery | |
|
10 Hagen Dr Ste 230 Rochester NY 14625-2659 | |
| (585) 442-1492 | |
| (585) 586-4460 |
| Full Name | Rochester Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10 Hagen Dr Ste 230, Rochester, New York |
| Authorized Official Name and Position | Rebecca Richards (BUSINESS MANAGER) |
| Authorized Official Contact | 5854421492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Oral Surgery 10 Hagen Dr Ste 230 Rochester NY 14625-2659 Ph: (585) 442-1492 | Rochester Oral Surgery 10 Hagen Dr Ste 230 Rochester NY 14625-2659 Ph: (585) 442-1492 |
| NPI Number | 1588843106 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588843106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 048025 (New York) | Primary |
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