Organization Active NPI

Greece Oral Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, NY
National Provider Identifier
1386720605
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
210878DA Issued in NY
Legal business name
GREECE ORAL SURGERY, P.C.
Practice address
2081 Ridge Rd W
Suite 101
Rochester, NY 14626-2724
Phone
(585) 227-0800
Fax
(585) 227-0802
NPI assigned
Oct 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. David Lee Anderson, D.D.S., M.D.
Title
Owner
Phone
(585) 227-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 210878DA NY Primary

Addresses

Primary practice location

2081 Ridge Rd W
Suite 101
Rochester, NY 14626-2724

Mailing address

2081 Ridge Rd W
Suite 101
Rochester, NY 14626-2724
Phone (585) 227-0800

National Provider Directory

National Provider Directory

Locations

2081 W Ridge Rd
Ste 105
Rochester, NY 14626
Phone (585) 227-0800

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1386720605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 RIDGE RD W",
            "address_2": "SUITE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-0800",
            "fax_number": "585-227-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 RIDGE RD W",
            "address_2": "SUITE 101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-0800",
            "fax_number": "585-227-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREECE ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-227-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "210878DA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 2008; 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.