Mark Bryan Tornatore, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040327 Issued in NY

Practice address

6536 Anthony Drive Suite a
East Victor Place
Victor, NY 14564

Phone

(585) 924-8940

Fax

(585) 924-5817

NPI assigned

Jan 4, 2007

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victor Dental Care PLLC

  • General Practice Dentistry
  • Victor, NY
  • NPI 1285271114
  NPD Authorized official
• Kevin Bolger DDS PLLC

  dba Victor Dental Care

  • General Practice Dentistry
  • Victor, NY
  • NPI 1578235792
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1457408114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 ANTHONY DRIVE",
            "address_2": "EAST VICTOR PLACE SUITE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649395",
            "telephone_number": "585-924-8940",
            "fax_number": "585-924-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 ANTHONY DRIVE SUITE A",
            "address_2": "EAST VICTOR PLACE",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "14564",
            "telephone_number": "585-924-8940",
            "fax_number": "585-924-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNATORE",
        "first_name": "MARK",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Time Worth Seeing, Licensed Optometrist, PC
• Lisa Marie Tirabassi
• Cynthia France Toleman, M. A., CCC-SLP
• Taylor Tomko, MS
• Caitlin Turner Topping, PHARM D
• Jasmine R Torres, MS, CCC-SLP, TSSLD
• Justin Torres, DPT
• Jesse Toth
• Stephanie R Totin
• Alecea Marie Towner, OTR/L

• General Practice Dentistry in Victor, NY
• Providers in Victor, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.