DR. TIMOTHY M. BLIEDEN (NPI# 1053411322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053411322 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY M. BLIEDEN |
| Credential | DDS |
| Practice Address |
2081 Ridge Rd W Rochester NY 14626-2724 |
| Practice Telephone | 5852254600 |
| Practice Fax Number | 5852256671 |
| Mailing Telephone | 5852254600 |
| Mailing Fax Number | 5852256671 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
041560 | NY | Dental Providers |
| Street Address |
2081 RIDGE RD W |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265541858 | Jack Caton | Dentist | 2081 Ridge Rd W, Rochester, NY 14626-2724 | 2006-08-29 |
| 1871719906 | Anthony G. Mesolella | Dentist | 2081 Ridge Rd W, Rochester, NY 14626-2724 | 2007-04-17 |
| 1710103825 | Anthony C. Mesolella | Dentist | 2081 Ridge Rd W, Rochester, NY 14626-2724 | 2007-04-17 |
| 1285766303 | Robert B Shtoyko | Dentist | 2081 Ridge Rd W, Suite 201, Rochester, NY 14626-2724 | 2007-03-12 |
| 1386720605 | Greece Oral Surgery, P.C. | Dentist | 2081 Ridge Rd W, Suite 101, Rochester, NY 14626-2724 | 2006-10-29 |
| 1750481693 | Paul Romano | Dentist | 2081 Ridge Rd W, Rochester, NY 14626-2724 | 2006-09-22 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053710673 | Ke Shang | Dentist | 2109 S Clinton Ave Ste 200, Rochester, NY 14618-2615 | 2014-08-19 |
| 1073929261 | Filip Ambrosio | Dentist | 2300 Buffalo Rd Bldg 400a, Rochester, NY 14624-1366 | 2014-07-08 |
| 1053510776 | Cristina Gabriela Ciornei | Dentist | 225 Parkwood Ave, Rochester, NY 14620-3405 | 2007-07-12 |
| 1871636365 | Edward David Appelbaum | Dentist | 45 Allens Creek Rd, Rochester, NY 14618-3227 | 2007-02-14 |
| 1538240254 | Paul David Hoffman | Dentist | 900 Westfall Rd Ste B, Rochester, NY 14618-2635 | 2006-10-18 |
| 1801984901 | Modern Periodontics, PC | Dentist | 1680 Monroe Ave, Suite A, Rochester, NY 14618-1417 | 2006-10-11 |
| 1487754305 | Caton, Blieden & Romano Dds, PC | Dentist | 2081 W. Ridge Rd, Rochester, NY 14626 | 2006-09-22 |
| 1265541858 | Jack Caton | Dentist | 2081 Ridge Rd W, Rochester, NY 14626-2724 | 2006-08-29 |
| 1174189088 | Elli Anna Kotsailidi | Dentist | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2019-05-15 |
| 1396278503 | Seong Woo Lee | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2017-04-05 |
| 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.