Healthcare Provider Details

I. General information

NPI: 1912103474
Provider Name (Legal Business Name): BUHITE AND BUHITE DDS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 PORTLAND AVE SUITE 8
ROCHESTER NY
14621-2731
US

IV. Provider business mailing address

1295 PORTLAND AVE SUITE 8
ROCHESTER NY
14621-2731
US

V. Phone/Fax

Practice location:
  • Phone: 585-342-1323
  • Fax: 585-342-1390
Mailing address:
  • Phone: 585-342-1323
  • Fax: 585-342-1390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number041578
License Number StateNY

VIII. Authorized Official

Name: DR. ROBERT J BUHITE II
Title or Position: PRESIDENT
Credential: DDS
Phone: 585-342-1323