Organization · Type 2 NPI

Western New York Medical Practice, P.c.

Dental Clinic/Center · Penfield, NY

NPI number 1134815301 Active

Practice location

2226 Penfield Rd
Penfield, NY 14526-1922

Call (585) 377-5810 Map

Fax (585) 377-1121

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

4 other providers at this address

Eastside Medical Urgent Care, LLCUrgent Care Clinic/Center Penfield, NY NPI 1528045135
Leah Marie Ruiz, P.A.Physician Assistant Penfield, NY NPI 1619986163
Steven Robert Ragan, DDSGeneral Practice Dentistry Penfield, NY NPI 1598984411
Tahmtan Hormozdyaran, MDInternal Medicine Physician Penfield, NY NPI 1013994623

Other dental clinic/center providers in Penfield

Gloria Nichols DDS PCDental Clinic/Center Penfield, NY NPI 1568058188

See all in Penfield →

NPI record

NPI: 1134815301
Entity type: Organization (Type 2)
Issued: Apr 12, 2023
Last updated: Apr 12, 2023
Status: Active
Subpart: Yes of Western New York Medical Practice, P.c.

Other names

Wny Dental Group at Penfield · doing business as

Authorized official

Nichole S Holder
Director - Payer Enrollment
(585) 922-0293

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134815301

Western New York Medical Practice, P.c.'s National Provider Identifier is 1134815301, issued on Apr 12, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Penfield, NY. The record was last updated on Apr 12, 2023.