RIDGECREST DENTAL, P.C. (NPI# 1548323538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548323538 |
| Entity Type | Organization |
| Organization Name | RIDGECREST DENTAL, P.C. |
| Other Organization Name | RIDGECREST DENTAL |
| Practice Address |
550 Latona Rd Bldg. B, Suite 200 Rochester NY 14626-2700 |
| Practice Telephone | 5852544600 |
| Practice Fax Number | 5854580944 |
| Mailing Telephone | 5852544600 |
| Mailing Fax Number | 5854580944 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | DR. RICHARD VINCENT ROMANO (PRESIDENT) |
| Authorized Official Telephone | 5852544600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
038619 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Ridgecrest Dental | Doing Business As Name - Organization |
| Street Address |
550 LATONA RD BLDG. B, SUITE 200 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881661338 | Michele Yax | Specialist | 550 Latona Rd, Bldg. C, Rochester, NY 14626-2700 | 2006-03-03 |
| 1770097800 | Nicole Rheinwald | Massage Therapist | 550 Latona Rd, Rochester, NY 14626-2700 | 2017-11-28 |
| 1821463316 | Sarah Mizzoni | Chiropractor | 550 Latona Rd, Building C Suite 303, Rochester, NY 14626-2700 | 2015-12-09 |
| 1215168935 | Lisa Malek | Social Worker | 550 Latona Rd, Bld. D, Suite 401, Rochester, NY 14626-2700 | 2009-07-29 |
| 1982843827 | Patrice Marie Ristuccia | Counselor | 550 Latona Rd, Building C, Rochester, NY 14626-2700 | 2009-02-17 |
| 1801061940 | Christine C Baker | Massage Therapist | 550 Latona Rd, Bldg D Suite 404, Rochester, NY 14626-2700 | 2008-04-29 |
| 1609050954 | Kristopher Daniel Ipen Van Zeilen | Chiropractor | 550 Latona Rd, Suite 404, Rochester, NY 14626-2700 | 2007-12-21 |
| 1497883557 | David Graham Hickson | Social Worker | 550 Latona Rd, Watona Office Campus Bldg B Davd Hickson Lcswr, Rochester, NY 14626 | 2007-03-01 |
| 1740316801 | Ying Chen | Dentist | 550 Latona Rd, Building C, Suite #305, Rochester, NY 14626-2700 | 2007-02-25 |
| 1508927906 | Lakeshore Physical Therapy | Specialist | 550 Latona Rd, Building C, Rochester, NY 14626-2700 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091763 | Erie Canal Dental Pllc | Dentist | 91 Erie Canal Dr Ste A, Rochester, NY 14626-4603 | 2020-07-26 |
| 1891303962 | Bryson Sloan Rushing | Dentist | 18 3rd St Sw Ste 300, Rochester, MN 55902-3022 | 2020-07-15 |
| 1033777636 | Mindy D Dogmanits | Dentist | 1300 Jefferson Rd Ste 300, Rochester, NY 14623-3195 | 2019-05-30 |
| 1447814553 | Gilbert Frank Hernandez | Dentist | 1299 Portland Ave Ste 4, Rochester, NY 14621-2727 | 2019-04-24 |
| 1669935920 | Michael Delucia | Dentist | 2105 Dewey Ave, Rochester, NY 14615-2207 | 2019-04-12 |
| 1912460189 | Vincenzo Giuseppe Marino | Dentist | 550 Latona Rd Ste B100, Rochester, NY 14626-2723 | 2019-04-12 |
| 1699255307 | Urgent Dental Care, Pllc | Dentist | 1740 Culver Rd Lowr Suite, Rochester, NY 14609-3836 | 2018-08-21 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| Find all providers in ROCHESTER | ||||
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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.