East Avenue Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

032910 Issued in NY

Legal business name

EAST AVENUE DENTISTRY PLLC

Practice address

1641 East Ave
Rochester, NY 14610-1616

Phone

(585) 482-5504

Fax

(585) 482-5507

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Harry Norman Rosen, D.D.S.

Title

Member

Phone

(585) 586-5480

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynne Altmire, DDS

  • Dentist
  • Rochester, NY
  • NPI 1538797980
  NPD (past)
• Daniel Connors, DDS

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1073261756
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1669649166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101616",
            "telephone_number": "585-482-5504",
            "fax_number": "585-482-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101616",
            "telephone_number": "585-482-5504",
            "fax_number": "585-482-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AVENUE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-586-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "032910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Earley, NP
• Sharon Earley, RN
• Kristine H Early, RPA-C
• Iduvina D. Earner, NP
• East Avenue Chiropractic P.C.
• East Coast Orthotic & Prosthetic Corp
• East House Corp
• East Irondequoit Central School District
• East Irondequoit CSD
• East Ridge Chiropractic PC

• Dental Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.