NPIMap

Organization Active NPI

Hometown Dental Group, PC

  • Dentist
  • Rochester, NY
National Provider Identifier
1215080205
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35176 Issued in NY
Legal business name
HOMETOWN DENTAL GROUP, PC
Practice address
34 Buckman Rd
Rochester, NY 14615-1406
Phone
(585) 309-1710
Fax
(585) 227-5215
NPI assigned
Jan 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul I Sussman, DMDNPI 1619065463
Title
VP
Phone
(585) 227-4390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 34610 NY
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 35176 NY Primary

Addresses

Primary practice location

34 Buckman Rd
Rochester, NY 14615-1406

Mailing address

34 Buckman Rd
Rochester, NY 14615-1406
Phone (585) 227-4390

Other names 1

  • Center for Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Cosmetic Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

324 Greece Ridge Center Dr
Rochester, NY 14626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1215080205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BUCKMAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151406",
            "telephone_number": "585-227-4390",
            "fax_number": "585-227-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BUCKMAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151406",
            "telephone_number": "585-309-1710",
            "fax_number": "585-227-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "585-227-4390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "34610",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "35176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.