Cianciola & Beach Periodontal Group

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

030525-2 Issued in NY

Legal business name

CIANCIOLA & BEACH PERIODONTAL GROUP

Practice address

2005 Lyell Ave
Suite 120
Rochester, NY 14606-2323

Phone

(585) 458-5456

Fax

(585) 458-9782

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Louis J. Cianciola, D.D.S.,M.S.

Title

Senior Partner

Phone

(585) 458-5456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437174232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 LYELL AVE",
            "address_2": "SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146062323",
            "telephone_number": "585-458-5456",
            "fax_number": "585-458-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 LYELL AVE",
            "address_2": "SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146062323",
            "telephone_number": "585-458-5456",
            "fax_number": "585-458-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIANCIOLA & BEACH PERIODONTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIANCIOLA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "585-458-5456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "030525-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ciaccia, PTA
• Margaret Ciaccio
• Emma Ciafaloni, MD
• Shanna M. Cialini, LMSW
• Peter Paul Ciancaglini, PHARM.D.
• Julie Ann Cianciola Beach, DDS,MS
• Louis J. Cianciola, DDS,MS
• Summer Ciao, LMT
• Isabella Frances Ciardi
• Molly Rose Ciarla

• Periodontics in Rochester, NY
• Providers in Rochester, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.