DIVERSIFIED DENTAL SERVICE (NPI# 1023102316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023102316 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED DENTAL SERVICE |
| Other Organization Name | MARK A LOWENGUTH |
| Practice Address |
2024 W Henrietta Rd Suite C Rochester NY 14623-1355 |
| Practice Telephone | 5852720120 |
| Practice Fax Number | 5852720123 |
| Mailing Telephone | 5852720120 |
| Mailing Fax Number | 5852720123 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | MARK ALLEN LOWENGUTH (DENTIST/OWNER) |
| Authorized Official Telephone | 5852720120 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
041406-01 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mark A Lowenguth | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Diversified Dental Services | 3464 N.salida St, Unit A-1, Aurora, CO 80011 |
| Washington State Corporations | DIVERSIFIED DENTAL SERVICES, INC. | 2616 S Bates Rd, Spokane Valley, WA 99206 |
| New York State Corporations | DIVERSIFIED DENTAL SERVICES, LLC | P.o. Box 908, Batavia, Ny 14021 |
| Street Address |
2024 W HENRIETTA RD SUITE C |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225007248 | Louis S Catapano | Chiropractor | 2024 W Henrietta Rd, Suite 5b, Rochester, NY 14623-1355 | 2006-03-14 |
| 1922348150 | Rochester Family Dental | Dentist | 2024 W Henrietta Rd, Suite 1a, Rochester, NY 14623-1355 | 2013-02-25 |
| 1194036103 | Lisa N Frisicano | Dentist | 2024 W Henrietta Rd, Suite 1a, Rochester, NY 14623-1355 | 2010-06-24 |
| 1811226137 | John Matthew Dunham Jr. | Mechanotherapist | 2024 W Henrietta Rd, Suite 5b, Rochester, NY 14623-1355 | 2009-12-16 |
| 1598090706 | Chun Li | Acupuncturist | 2024 W Henrietta Rd, Rochester, NY 14623-1355 | 2009-10-05 |
| 1174756936 | Austin Baddeley | Massage Therapist | 2024 W Henrietta Rd, Bldg 6c, Rochester, NY 14623-1355 | 2009-08-27 |
| 1497964654 | John C Karl | Counselor | 2024 W Henrietta Rd, Suite 5g, Rochester, NY 14623-1355 | 2007-05-22 |
| 1194932251 | Gwen Ellen Martone Mazza | Counselor | 2024 W Henrietta Rd, Suite 3-f, Rochester, NY 14623-1355 | 2007-05-17 |
| 1295941557 | Alan I Newman | Dentist | 2024 W Henrietta Rd, Suite 1a, Rochester, NY 14623-1355 | 2007-05-15 |
| 1003946963 | Brighton Campus Chiropractors LLC | Chiropractor | 2024 W Henrietta Rd, Suite 5b, Rochester, NY 14623-1355 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| 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.