DR. ROBERT GLENN PEASE JR. (NPI# 1295746550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295746550 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GLENN PEASE JR. |
| Credential | DDS |
| Practice Address |
10 Brook St Canandaigua NY 14424 |
| Practice Telephone | 5853948071 |
| Practice Fax Number | 5853948529 |
| Mailing Telephone | 5853948071 |
| Mailing Fax Number | 5853948529 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0387461 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790198596 | Robert C Pease | Internal Medicine | William B Aycock Bldg 590 Manning Drive Cb 7595, Chapel Hill, NC 27599 | 2014-06-09 |
| 1346887122 | Robert Francis Pease Jr. | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2019-11-29 |
| 1861402943 | Robert J Pease | Anesthesiology | 3300 Providence Dr Ste 207, Providence Anchorage Anesthesia Medical Group, P.C., Anchorage, AK 99508-4619 | 2006-08-09 |
| Street Address |
10 BROOK ST |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050771 | Lux Dental | Dentist | 10 Brook St, Canandaigua, NY 14424-1328 | 2019-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164664207 | Andrey Ustinenkov | Dentist | 308 Eastern Blvd, Aspen Dental, Canandaigua, NY 14424 | 2009-04-06 |
| 1548397805 | Joseph J Cameron IIi | Dentist | 470 North Main Street, Canandaigua, NY 14424-1049 | 2007-02-27 |
| 1558423590 | Mark Elliot Wohlfeld | Dentist | 325 West Street, Suite 101, Canandaigua, NY 14424 | 2006-12-15 |
| 1497814347 | Charles Robert Pratt | Dentist | 194 Parrish St, Canandaigua, NY 14424 | 2006-12-07 |
| 1588744502 | Dentistry Today | Dentist | 275 Parrish St, Finger Lakes Dental, Canandaigua, NY 14424-1785 | 2006-10-16 |
| 1841706751 | Tri County Sleep Service LLC | Dentist | 344 N Main St, Canandaigua, NY 14424-1442 | 2017-12-15 |
| 1033594809 | Gullo Dental, Pllc | Dentist | 330 N Main St, Canandaigua, NY 14424-1222 | 2015-07-22 |
| 1619385317 | Catherine Telehany | Dentist | 329 South Main Street, Canandaigua, NY 14424 | 2014-07-25 |
| 1720415565 | Aharon Ernan Dmd PC | Dentist | 325 S Main St, Canandaigua, NY 14424-2118 | 2013-10-10 |
| 1912216789 | Germain Jean-charles | Dentist | 344 N Main St, Canandaigua, NY 14424-1030 | 2010-09-28 |
| Find all providers in CANANDAIGUA | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.