Individual provider · Type 1 NPI

Ethan Benjamin Barkin

Periodontics · Rochester, NY

NPI number 1013651868 Active

Practice location

625 Elmwood Ave # 683
Rochester, NY 14620-2913

Mailing address

2500 East Ave Apt 3R
Rochester, NY 14610-3139

Other practice locations

  • 2081 W Ridge Rd, Rochester, NY 14626 · (585) 326-9961

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Periodontics Primary 1223P0300X064638 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1013651868

Ethan Benjamin Barkin's National Provider Identifier is 1013651868, issued on Apr 26, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Rochester, NY. The record was last updated on Aug 4, 2025.