EAST AVENUE DENTISTRY PLLC (NPI# 1669649166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669649166 |
| Entity Type | Organization |
| Organization Name | EAST AVENUE DENTISTRY PLLC |
| Practice Address |
1641 East Ave Rochester NY 14610-1616 |
| Practice Telephone | 5854825504 |
| Practice Fax Number | 5854825507 |
| Mailing Telephone | 5854825504 |
| Mailing Fax Number | 5854825507 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DR. HARRY NORMAN ROSEN (MEMBER) |
| Authorized Official Telephone | 5855865480 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
032910 | NY | Ambulatory Health Care Facilities |
| Street Address |
1641 EAST AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14610-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720634082 | Gregory Roth | Chiropractor | 1641 East Ave, Rochester, NY 14610-1604 | 2019-08-13 |
| 1942762927 | Gladys Michelle Luna | Dentist | 1641 East Ave, Rochester, NY 14610-1604 | 2019-04-01 |
| 1669930301 | Bethany Michelle Rodgers | Chiropractor | 1641 East Ave, Rochester, NY 14610-1604 | 2019-03-12 |
| 1679992259 | Amorette B Smith | Chiropractor | 1641 East Ave, Rochester, NY 14610-1604 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511122 | Marisa Volinsky | Social Worker | 2300 East Ave, Rochester, NY 14610 | 2019-04-28 |
| 1023396124 | Elissa Sara Strassman | Dietitian, Registered | 1441 East Avenue Suite 7d, Rochester, NY 14610 | 2011-07-25 |
| 1750695169 | Tracy Lee Pattison | Licensed Practical Nurse | 989 Blossom Road, Rochester, NY 14610 | 2010-07-28 |
| 1881926558 | Joshua Benjamin Rittenberg | Chiropractor | 1641 East Avenue, Rochester, NY 14610 | 2010-02-05 |
| 1922233584 | Patricia Renee Tolbert | Licensed Practical Nurse | 257 North Winton Road, Rochester, NY 14610 | 2009-05-26 |
| 1851556716 | Ann Marie Geyer | Registered Nurse | 62 Balsam Street, Rochester, NY 14610 | 2008-07-21 |
| 1871751289 | Ann Deborah Livingston-gagni | Licensed Practical Nurse | 158 Nunda Blvd, Rochester, NY 14610 | 2008-06-02 |
| 1659542652 | Charles F Coyle Jr Dpm | Podiatrist | 555 N Winton Rd, Rochester, NY 14610 | 2008-03-18 |
| 1588832638 | Paula Marie Moore | Registered Nurse | 381 Beresford Road, Rochester, NY 14610 | 2008-02-12 |
| 1902097314 | Rosamond Blakeslee | Registered Nurse | 107 San Gabriel Drive, Rochester, NY 14610 | 2007-08-09 |
| Find all providers in zip 14610 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306313150 | Jeffrey I Goldberg Dds Pllc | Clinic/Center | 1655 Elmwood Ave Ste 100, Rochester, NY 14620-3426 | 2018-10-30 |
| 1497294326 | Quarry Hill Family Dental, LLC | Clinic/Center | 828 11th Ave Ne, Rochester, MN 55906-4457 | 2017-02-12 |
| 1396199832 | Pdg, Pa | Clinic/Center | 3780 Marketplace Dr Nw Ste 112, Rochester, MN 55901-3225 | 2016-04-21 |
| 1598186645 | Southcoast Community Dental Care | Clinic/Center | 603 New Bedford Rd, Rochester, MA 02770-4125 | 2013-12-16 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1942475330 | Minnesota State Colleges and Universities - Rochester Community & Tech | Clinic/Center | 851 30th Ave Se, Rochester, MN 55904-4915 | 2008-04-25 |
| 1730284787 | Groves & Kelley Dds PC | Clinic/Center | 50 Cedarfield Commons, Suite D, Rochester, NY 74612 | 2006-09-14 |
| 1538767876 | Rochester Dental Professionals LLC | Clinic/Center | 723 2nd St Sw, Rochester, MN 55902-2921 | 2020-10-09 |
| 1609496504 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-04-21 |
| 1740814813 | Roxanne Lowenguth Dds,ms,pllc | Clinic/Center | 2109 S Clinton Ave Ste 200, Rochester, NY 14618-2615 | 2020-02-27 |
| 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.