Physician Compare National (NPI:1528159985)

HEALTHCARE PROVIDER: VINCENT VELLA DDS PC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528159985
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961723127
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160331001101
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VELLA
	Individual professional last name
Provider First Name	VINCENT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	455 EMPIRE BLVD
	Group Practice or individual's line 1 address
City	ROCHESTER
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	146094403
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y