TC Greece Pediatric Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TC GREECE PEDIATRIC DENTISTRY PLLC

Practice address

2081 W Ridge Rd Ste 107
Greece, NY 14626-2724

Phone

(585) 227-4570

Fax

(585) 227-5410

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abrahim Caroci, DMDNPI 1841636172

Title

Owner/President

Phone

(585) 775-5052

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abrahim De Souza Caroci, DMD

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
  • NPI 1841636172
  NPD Authorized official
• Kristine Spring West, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dewitt, MI
  • NPI 1154464576
  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1295496933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 W RIDGE RD STE 107",
            "city": "GREECE",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-4570",
            "fax_number": "585-227-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 W RIDGE RD STE 107",
            "city": "GREECE",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-4570",
            "fax_number": "585-227-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC GREECE PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "CAROCI",
        "authorized_official_first_name": "ABRAHIM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "585-775-5052",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rochester",
            "affiliation": "N",
            "address_1": "2081 W Ridge Rd Ste 107",
            "city": "Greece",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146262724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Royale Transportation
• Ulfat Shafiq, DMD
• Susan Ann Shick, R..N
• Amanda Shultes, LMSW
• Kimberly Strong
• Tops Markets LLC (Tops Pharmacy)
• Ashellee E Toweh, LCSW
• Colleen Marie Varney
• Wal-Mart Stores East , LP (Wal-Mart Pharmacy 10-1610)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5282)

• Dental Clinic/Center in Greece, NY
• Providers in Greece, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.