Active NPI
Eastman Institute for Oral Health
- General Practice Dentistry
- Rochester, NY
National Provider Identifier
1023490257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- EASTMAN INSTITUTE FOR ORAL HEALTH
- Practice address
- 60 Crittenden Blvd Apt 917
Rochester, NY 14620-4046 - Phone
- (310) 739-5718
- NPI assigned
- Jun 24, 2015
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF ROCHESTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vanessa Buckholz
- Title
- Registrar
- Phone
- (585) 275-9801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
60 Crittenden Blvd Apt 917
Rochester, NY 14620-4046
Mailing address
60 Crittenden Blvd Apt 917
Rochester, NY 14620-4046
Phone (310) 739-5718
Other names 1
- Eastman dental center
National Provider Directory
National Provider Directory- Part of
- University of Rochester Strong Memorial Hospital
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Rochester, NY
- NPI 1760864623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1023490257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CRITTENDEN BLVD APT 917",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204046",
"telephone_number": "310-739-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CRITTENDEN BLVD APT 917",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204046",
"telephone_number": "310-739-5718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTMAN INSTITUTE FOR ORAL HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF ROCHESTER",
"enumeration_date": "2015-06-24",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "BUCKHOLZ",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "REGISTRAR",
"authorized_official_telephone_number": "585-275-9801",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastman dental center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.