Healthcare Provider Details

I. General information

NPI: 1528304805
Provider Name (Legal Business Name): Q DENTAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2012
Last Update Date: 12/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 BUFFALO RD BUILDING 400
ROCHESTER NY
14624-1360
US

IV. Provider business mailing address

2300 BUFFALO RD BUILDING 300
ROCHESTER NY
14624-1360
US

V. Phone/Fax

Practice location:
  • Phone: 585-426-3020
  • Fax: 585-426-2131
Mailing address:
  • Phone: 585-429-5351
  • Fax: 585-429-5277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK J QUARANTELLO
Title or Position: DENTIST
Credential: DDS
Phone: 585-429-5351