Healthcare Provider Details

I. General information

NPI: 1982715470
Provider Name (Legal Business Name): ROBERT J BUHITE II D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
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:
Mailing address:
  • Phone: 585-342-1323
  • Fax:

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:
Title or Position:
Credential:
Phone: