Rochester Dental, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROCHESTER DENTAL, PC

Practice address

25 Rochester Hill Rd
Rochester, NH 03867-3214

Phone

(603) 335-9339

Fax

(603) 335-3888

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Roman Gavrilman, D.M.D.

Title

Dentist

Phone

(603) 335-9339

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1881095305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673214",
            "telephone_number": "603-335-9339",
            "fax_number": "603-335-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673214",
            "telephone_number": "603-335-9339",
            "fax_number": "603-335-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "GAVRILMAN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-335-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122300000X - DENTIST",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122300000X - DENTIST",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Roberge
• A. Alexis Roberson, LMFT
• Alexandra Roberts, APRN
• Sara Elizabeth Rochefort, CPNP
• Rochester Chiropractic
• Rochester Eye Care Associates PLLC
• Rochester Manor LLC (Rochester Manor)
• Rochester Pediatrics
• Rochester School District
• Christina Rodgers

• Dentist in Rochester, NH
• Providers in Rochester, NH by specialty
• Dentist in New Hampshire

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