University Dental Faculty Practice Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UNIVERSITY DENTAL FACULTY PRACTICE GROUP

Practice address

2400 S Clinton Ave Ste H220
Rochester, NY 14618-2689

Phone

(585) 341-7177

Fax

(585) 475-9265

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Levy, DMD,MS

Title

Medical Director

Phone

(585) 275-0485

Specialties & licenses 6

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 36

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

• Sharon Elad, DMD MSC

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1114215308

  General Practice, NY

  Medicare reassignment Care Compare group NPD
• Junad Khan, BDS, MDS, MPH, PHD

  • Orofacial Pain Dentistry
  • Rochester, NY
  • NPI 1689122988

  NY

  Medicare reassignment Care Compare group NPD
• Kyle Mecca, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, NY
  • NPI 1396276879

  NY, Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Zachary Keith Zeiler, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, NY
  • NPI 1134895402

  NY, Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Dina Amin

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1194271445

  NY, Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• John S. Vorrasi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, NY
  • NPI 1427217199

  NY

  Medicare reassignment Care Compare group
• Ming-Che Shen, PA

  • Physician Assistant
  • Rochester, NY
  • NPI 1306290168

  NY

  Medicare reassignment
• Maricelle Abayon, D.M.D.

  • Dentist
  • Rochester, NY
  • NPI 1174767511
  NPD (past)
• Joy Bockstein Abt, D.M.D.

  • Prosthodontics
  • Rochester, NY
  • NPI 1235237686
  NPD (past)
• Charles Burchfield, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, NY
  • NPI 1578940730

  Oral and Maxillofacial Surgery

  NPD (past)
• Patricia Carlson, D.D.S.

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
  • NPI 1104922178
  NPD (past)
• Stephen Cho, D.D.S.

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
  • NPI 1417053497
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1306929013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ELMWOOD AVE., BOX 683",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202913",
            "telephone_number": "585-758-0969",
            "fax_number": "585-475-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S CLINTON AVE STE H220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182689",
            "telephone_number": "585-341-7177",
            "fax_number": "585-475-9265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-275-5531",
            "fax_number": "585-475-9265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7329 Seneca Rd N",
            "address_purpose": "LOCATION",
            "city": "Hornell",
            "state": "NY",
            "postal_code": "148439684",
            "country_code": "US",
            "telephone_number": "585-275-5531",
            "fax_number": "585-475-9265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Sawgrass Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146204652",
            "country_code": "US",
            "telephone_number": "585-275-5531",
            "fax_number": "585-475-9265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202913",
            "country_code": "US",
            "telephone_number": "585-273-1913",
            "fax_number": "585-475-9265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Clinton Ave Ste H125",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182641",
            "country_code": "US",
            "telephone_number": "585-341-7316",
            "fax_number": "585-475-9265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL FACULTY PRACTICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "585-275-0485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "5467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "7309",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "7876",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0187522590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "70078",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "5529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unity Health System
• Unity Linden Oaks Surgery Center
• Unity Linden Oaks Surgery Center, LLC
• Universal Care Services, LLC
• University Cardiothoracic Surgery Group
• University Dermatology Associates
• University Medical Imaging PC
• University of Rochester
• University of Rochester
• University of Rochester

• All providers in Rochester, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.