Batavia Esthetic Dentistry
Organization Active NPI Prosthodontics · Batavia, NY
NPI 1497946412 · NPPES record last updated Aug 5, 2007
Key facts
- NPI
- 1497946412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 050656 (NY)
- Legal business name
- BATAVIA ESTHETIC DENTISTRY
- Practice address
- 413 E Main St
Batavia, NY 14020-2437 - Phone
- (585) 343-1958
- Fax
- (585) 343-0111
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Vimal Vladimir Frias, D.D.S
- Title
- Partner
- Phone
- (585) 343-1958
National Provider Directory
Locations
413 E Main St
Batavia, NY 14020
Phone (585) 343-1958
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 050175 | NY | |
| Prosthodontics |
1223P0700X | 050656 | NY | Yes |
Addresses
Primary practice location
413 E Main St
Batavia, NY 14020-2437
Mailing address
413 E Main St
Batavia, NY 14020-2437
Phone (585) 343-1958
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.