Provider Demographics
NPI:1972625135
Name:GATES DENTAL SERVICES PC
Entity type:Organization
Organization Name:GATES DENTAL SERVICES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHHAYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANGAVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-247-1961
Mailing Address - Street 1:2119 BUFFALO ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624
Mailing Address - Country:US
Mailing Address - Phone:585-247-1961
Mailing Address - Fax:585-247-1961
Practice Address - Street 1:2119 BUFFALO ROAD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624
Practice Address - Country:US
Practice Address - Phone:585-247-1961
Practice Address - Fax:585-247-1961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039638122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty