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General NPI Number Information
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NPI Number | 1699785634
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Entity Type | Organization
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Legal Business Name | ROCHESTER ENDODONTICS
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 6800 PITTSFORD PALMYRA RD SUITE 110
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City | FAIRPORT
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State | NY
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Zip | 14450-3584
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Country | US
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Telephone | 585-223-5330
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Fax | 585-223-7601
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Provider Business Mailing Address
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Address Line | 6800 PITTSFORD PALMYRA RD SUITE 110
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City | FAIRPORT
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State | NY
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Zip | 14450-3584
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Country | US
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Telephone | 585-223-5330
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Fax | 585-223-7601
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Authorized Official
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Title or Position | OWNER
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Name | DR. KYLE J SAISSELIN
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Credential | DDS
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Telephone | 585-223-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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