Healthcare Provider Details

I. General information

NPI: 1821137878
Provider Name (Legal Business Name): GRASSI AND GRASSI P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1603
US

IV. Provider business mailing address

369 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1603
US

V. Phone/Fax

Practice location:
  • Phone: 585-424-1111
  • Fax: 585-424-1111
Mailing address:
  • Phone: 585-424-1111
  • Fax: 585-424-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL DAVID GRASSI
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 585-424-1111