ROCHESTER FAMILY DENTISTRY LLC (NPI# 1649769159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649769159 |
| Entity Type | Organization |
| Organization Name | ROCHESTER FAMILY DENTISTRY LLC |
| Practice Address |
1014 Madison St Rochester IN 46975-1830 |
| Mailing Address |
2209 Poets Dr Rochester IN 46975-9011 |
| Practice Telephone | 5209079383 |
| Mailing Telephone | 5209079383 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | ANNE SY (OWNER) |
| Authorized Official Telephone | 5209079383 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
12011491A | IN | Ambulatory Health Care Facilities |
| Street Address |
1014 MADISON ST |
| City | ROCHESTER |
| State | IN |
| Zip Code | 46975-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932212479 | Michael A Boldry | Dentist | 1014 Madison St, Rochester, IN 46975-1830 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789038 | Caitlin Barts-nunez | Dentist | 1360 E. 4th Street, Rochester, IN 46975 | 2016-06-02 |
| 1093117061 | Brittainey Neese | Pharmacist | 2240 E. Peace Tree Village, Rochester, IN 46975 | 2014-09-22 |
| 1437415460 | Benjamin O Adebayo | Obstetrics & Gynecology | 1400 East 9th S, Rochester, IN 46975 | 2012-04-04 |
| 1679779367 | Hope Hospice, Inc. | Home Health | 2316 E State Rd 14, Rochester, IN 46975 | 2007-06-21 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1134297930 | Timothy Ravencroft | Dentist | 115 E 7th Street, Rochester, IN 46975 | 2006-12-01 |
| 1720172349 | Patricia J Heiden | Social Worker | 618 E. Ninth St., Rochester, IN 46975 | 2006-10-03 |
| 1760583355 | Julius Salazar Sitjar | Internal Medicine | 2671 Ft Wayne Rd, Rochester, IN 46975 | 2006-09-26 |
| 1922016260 | Hubert Ray Hazen | Dentist | 1329 Main Street, Rochester, IN 46975 | 2006-08-03 |
| 1366401812 | Cynthia A Laycock | Optometrist | 2260 Main St., Rochester, IN 46975 | 2006-03-22 |
| Find all providers in zip 46975 | ||||
| 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 |
| 1669649166 | East Avenue Dentistry Pllc | Clinic/Center | 1641 East Ave, Rochester, NY 14610-1616 | 2008-05-13 |
| 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 |
| 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.