Organization
BAYFRONT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAESTA NAJEEM DDS (OWNER/PROVIDER)
(585) 787-1000
Entity
Organization
Contact information
Practice address
1760 EMPIRE BLVD, WEBSTER, NY 14580-2179
(585) 787-1000
(585) 787-1045
Mailing address
1760 EMPIRE BLVD, WEBSTER, NY 14580-2179
(585) 787-1000
(585) 787-1045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03875789
—
NY
Enumeration date
04/24/2014
Last updated
01/28/2015
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