Provider Demographics
NPI:1427150895
Name:GRASER, GERALD NEIL (DDS)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:NEIL
Last Name:GRASER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 ELMWOOD AVE
Mailing Address - Street 2:EASTMAN DENTAL CENTER
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2989
Mailing Address - Country:US
Mailing Address - Phone:585-275-5043
Mailing Address - Fax:585-244-8772
Practice Address - Street 1:625 ELMWOOD AVE
Practice Address - Street 2:EASTMAN DENTAL CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2989
Practice Address - Country:US
Practice Address - Phone:585-275-5043
Practice Address - Fax:585-244-8772
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027533-11223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics