GREECE ORAL SURGERY, P.C. (NPI# 1386720605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386720605 |
| Entity Type | Organization |
| Organization Name | GREECE ORAL SURGERY, P.C. |
| Practice Address |
2081 Ridge Rd W Suite 101 Rochester NY 14626-2724 |
| Practice Telephone | 5852270800 |
| Practice Fax Number | 5852270802 |
| Mailing Telephone | 5852270800 |
| Mailing Fax Number | 5852270802 |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. DAVID LEE ANDERSON (OWNER) |
| Authorized Official Telephone | 5852270800 |
| Authorized Official Credential | D.D.S., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
210878DA | NY | Dental Providers |
| Street Address |
2081 RIDGE RD W SUITE 101 |
| 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 |
| 1053411322 | Timothy M. Blieden | Dentist | 2081 Ridge Rd W, Rochester, NY 14626-2724 | 2006-09-25 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477991677 | Pooja Gangwani | Dentist | 2400 S Clinton Ave Ste 125, Rochester, NY 14618-2668 | 2013-06-10 |
| 1003137381 | Marc G. Johnson | Dentist | 150 Lynnwood Dr, Rochester, NY 14618-2826 | 2010-06-21 |
| 1427217199 | John S. Vorrasi | Dentist | 2400 S Clinton Ave Bldg H Suite 125, Rochester, NY 14618 | 2008-06-06 |
| 1992842793 | Antonia Kolokythas | Dentist | 601 Elmwood Ave Box 705, Rochester, NY 14642-0001 | 2007-01-31 |
| 1619022449 | Jolly M Caplash | Dentist | 10 Hagen Dr Ste 230, Rochester, NY 14625-2659 | 2007-01-24 |
| 1649215328 | Joel C Michelson | Dentist | 3632 10th Ln Nw, Rochester, MN 55901-6917 | 2006-06-18 |
| 1083681928 | Nicholas H. Psimos | Dentist | 1101 N Broadway, Rochester, MN 55906-6841 | 2006-02-28 |
| 1962482562 | Michael Kim Ban | Dentist | 450 Adams St, Rochester, PA 15074-1911 | 2006-01-19 |
| 1992794218 | Lee Cain Chewning | Dentist | 191 S Park St, Rochester, PA 15074-2217 | 2005-10-19 |
| 1033731815 | Shayla Camille Steeds | Dentist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-05-14 |
| 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.