Renee Lynn Roland, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

054966 Issued in NY

Practice address

2088 Five Mile Line Rd
Penfield, NY 14526-1450

Phone

(585) 385-8700

Fax

(585) 383-8588

NPI assigned

Mar 28, 2008

Sex

Female

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

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1588836639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 FIVE MILE LINE RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261450",
            "telephone_number": "585-385-8700",
            "fax_number": "585-383-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 FIVE MILE LINE RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261450",
            "telephone_number": "585-385-8700",
            "fax_number": "585-383-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Sakura Rivera Doi, DDS
• Jenna Rivera, LMHC
• Courtney Robertson
• Nitza Ivette Rodriguez, LMFT
• Alanna Roemer-Koke, LCSW-R
• Gustave Theodore Ruckert V, D.O.
• Leah Marie Ruiz, P.A.
• Elizabeth Bruce Russell
• Elaine Rzadca, RPH
• Judy Lynne Gambino Sallmen, OTR/L

• Orthodontics and Dentofacial Orthopedics Dentistry in Penfield, NY
• Providers in Penfield, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.