DR. TIMOTHY JOSEPH O'LEARY (NPI# 1699831453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699831453 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOSEPH O'LEARY |
| Credential | DDS |
| Practice Address |
4292 Lake Ave Rochester NY 14612-4808 |
| Practice Telephone | 5856633957 |
| Mailing Telephone | 5856633957 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
038370 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00843852 | 05 | |
| NY | ROCHESTER BLUE SHIELD ID | 7438 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356428791 | Timothy O'leary | Optometrist | 1233 Herschel Woods Ln, Cincinnati, OH 45208-4335 | 2006-11-01 |
| 1700992294 | Timothy R O'leary | Radiology | 1420 Us Highway 61, Festus, MO 63028-4108 | 2006-08-21 |
| 1629098272 | Timothy E O'leary | Chiropractor | 49 Central St, Peabody, MA 01960-4375 | 2006-07-19 |
| 1003899873 | Timothy Joseph O'leary | Pathology | 4755 Camp Roosevelt Drive, Chesapeake Beach, MD 20732 | 2005-11-24 |
| 1811464381 | Timothy B O'leary | Physician Assistant | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2018-11-01 |
| 1104082189 | Timothy S O'leary | Physical Therapist | 3219 Central Ave, Suite 104, Kearney, NE 68847-2949 | 2008-07-30 |
| 1285657726 | Timothy E O'leary | Physician Assistant | 1047 Glenbrook Way, Suite 120, Hendersonville, TN 37075-1231 | 2006-07-25 |
| 1669442893 | Timothy O'leary | Obstetrics & Gynecology | 207 W Gore St, Orlando, FL 32806-1008 | 2006-01-23 |
| Street Address |
4292 LAKE AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14612-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386294122 | Marlene Lebeau | Technician | 39 Wood Run Commons, Rochester, NY 14612 | 2019-09-13 |
| 1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
| 1043759822 | Jessica Ekiert | Licensed Practical Nurse | 143 Country Place Ln, Rochester, NY 14612 | 2017-02-14 |
| 1790179471 | Elizabeth Inclima | Specialist | 27 Hale Circle, Rochester, NY 14612 | 2015-03-20 |
| 1528471869 | Brenda Marie Roberts | Licensed Practical Nurse | 3457 Latta Rd, Greece, NY 14612 | 2014-06-04 |
| 1811272602 | Alexandra Reidmiller | Registered Nurse | 800 Long Pond Road, Rochester, NY 14612 | 2011-10-12 |
| 1528372224 | Nicole France | Pharmacist | 665 Long Pond Rd., Rochester, NY 14612 | 2010-08-05 |
| 1407094303 | Esther Mae Platek | Licensed Practical Nurse | 4702-1 Dewey Ave, Rochester, NY 14612 | 2009-01-30 |
| 1871730614 | Edwidge May Clarke | Registered Nurse | 276 Pebbleview Drive, Rochester, NY 14612 | 2009-01-15 |
| 1073772000 | La Vonia Marie Norman - Greeen | Licensed Practical Nurse | 902 Pond View Hts, Rochester, NY 14612 | 2008-06-05 |
| Find all providers in zip 14612 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY JOSEPH O'LEARY.
| 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.