# ROCHESTER PERIODONTAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rochester Periodontal & Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770631277
- **Authorized official:** DR. OREN ISAAC WEISS DMD, MPH (PRESIDENT)
- **Authorized official phone:** (585) 442-0690

## Contact information

- **Practice address:** 900 WESTFALL RD STE B, ROCHESTER, NY 14618-2635
- **Practice address phone:** (585) 442-0690
- **Practice address fax:** (585) 442-8474
- **Mailing address:** 900 WESTFALL RD STE B, ROCHESTER, NY 14618-2635
- **Mailing address phone:** (585) 442-0690
- **Mailing address fax:** (585) 442-8474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | — | NULL | Yes |
| 1223P0300X | Periodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/06/2021