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DIVERSIFIED DENTAL SERVICE NPI 1023102316


NPI Information

NPI: 1023102316
Provider Name: DIVERSIFIED DENTAL SERVICE

Doing Business As: MARK A LOWENGUTH

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2024 W HENRIETTA RD
SUITE C
ROCHESTER, NY
ZIP 14623
Phone: (585) 272-0120
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DIVERSIFIED DENTAL SERVICE is a general practice dentist in Rochester, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DIVERSIFIED DENTAL SERVICE NPI is 1023102316. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mark A Lowenguth.

The provider's business location address is:

2024 W HENRIETTA RD
SUITE C
ROCHESTER, NY
ZIP 14623-355
Phone: (585) 272-0120
Fax: (585) 272-0123

The provider's authorized official is Mark Allen Lowenguth .
The authorized official title is Dentist/owner and has the following contact phone number (585) 272-0120.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice041406-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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