Provider Demographics
NPI:1962056499
Name:ZAHAVI DENTAL OF ROCHESTER
Entity type:Organization
Organization Name:ZAHAVI DENTAL OF ROCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.M.D
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHAVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-685-2005
Mailing Address - Street 1:1815 S. CLINTON AVE, 510
Mailing Address - Street 2:
Mailing Address - City:ROCHETER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-685-2005
Mailing Address - Fax:585-685-2003
Practice Address - Street 1:1815 S. CLINTON AVE, 510
Practice Address - Street 2:
Practice Address - City:ROCHETER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-685-2005
Practice Address - Fax:585-685-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty