Provider Demographics
NPI:1548339963
Name:GREECE PEDIATRIC DENTISTRY, LLP
Entity type:Organization
Organization Name:GREECE PEDIATRIC DENTISTRY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:DURR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:585-227-4570
Mailing Address - Street 1:2061 RIDGE ROAD WEST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-2782
Mailing Address - Country:US
Mailing Address - Phone:585-227-4570
Mailing Address - Fax:585-227-5410
Practice Address - Street 1:2061 RIDGE RD W
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2718
Practice Address - Country:US
Practice Address - Phone:585-227-4570
Practice Address - Fax:585-227-5410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035018-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty