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Organization
SOUTH COAST ROCHESTER LLC
Active
Organization
SOUTH COAST ROCHESTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ASHER LEVINE DDS,MD (OWNER)
(585) 278-7199
Entity
Organization
Contact information
Practice address
840 UNIVERSITY AVE, ROCHESTER, NY 14607-1288
(585) 278-7199
Mailing address
58 INDIANA ST, ROCHESTER, NY 14609-7437
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
04/03/2026
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