Healthcare Provider Details

I. General information

NPI: 1932295789
Provider Name (Legal Business Name): JAMES D AMBORSKI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 OFFICE PARK WAY
PITTSFORD NY
14534
US

IV. Provider business mailing address

30 OFFICE PARK WAY
PITTSFORD NY
14534
US

V. Phone/Fax

Practice location:
  • Phone: 585-586-9063
  • Fax: 585-586-1478
Mailing address:
  • Phone: 585-586-9063
  • Fax: 585-586-1478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number043001
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: