Individual
PHILLIP GEOFFREY CARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 N MAIN ST, CANANDAIGUA, NY 14424-1022
(585) 394-3322
(585) 394-1175
Mailing address
6578 WOODLAND TRL, CANANDAIGUA, NY 14424-9372
(585) 727-3218
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
039992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00959182
—
NY
01
—
010039992
BLUE CHOICE OF ROCHESTER
NY
01
—
7892
BLUE SHIELD OF ROCHESTER
NY
Enumeration date
03/27/2006
Last updated
12/15/2014
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