Provider Demographics
NPI:1649016783
Name:ROCHESTER FAMILY DENTAL PRACTICES LLP
Entity type:Organization
Organization Name:ROCHESTER FAMILY DENTAL PRACTICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SPOTO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:585-739-5160
Mailing Address - Street 1:2005 LYELL AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-2325
Mailing Address - Country:US
Mailing Address - Phone:585-254-4414
Mailing Address - Fax:585-254-4474
Practice Address - Street 1:2005 LYELL AVE STE 220
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-2325
Practice Address - Country:US
Practice Address - Phone:585-254-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty