Healthcare Provider Details

I. General information

NPI: 1144223892
Provider Name (Legal Business Name): GREGORY VOCI III DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3170 WEST ST STE 250
CANANDAIGUA NY
14424-1786
US

IV. Provider business mailing address

3170 WEST ST STE 250
CANANDAIGUA NY
14424-1786
US

V. Phone/Fax

Practice location:
  • Phone: 585-394-3736
  • Fax: 585-394-3891
Mailing address:
  • Phone: 585-394-3736
  • Fax: 585-394-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number041381
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: