Organization
HOMETOWN DENTAL GROUP, PC
Active
Other names
Center for Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL I SUSSMAN DMD (VP)
(585) 227-4390
Entity
Organization
Contact information
Practice address
34 BUCKMAN RD, ROCHESTER, NY 14615-1406
(585) 309-1710
(585) 227-5215
Mailing address
34 BUCKMAN RD, ROCHESTER, NY 14615-1406
(585) 227-4390
(585) 227-5215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34610
NY
122300000X
Dentist
Primary
35176
NY
Other
Enumeration date
01/21/2007
Last updated
09/25/2023
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