CENTER FOR COSMETIC DENTISTRY
NPI 1215080205
Dentist in Rochester, NY

NPI Status: Active since January 21, 2007

Contact Information

34 BUCKMAN RD
ROCHESTER, NY
ZIP 14615
Phone: (585) 309-1710
Fax: (585) 227-5215

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  • Organization
  • Dentist
  • CLIA Number: 33D2184860
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-25-2026

About CENTER FOR COSMETIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Center For Cosmetic Dentistry, a provider established in Rochester, New York operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1215080205 assigned on January 2007. The practitioner's primary taxonomy code is 122300000X with license number 35176 (NY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Center For Cosmetic Dentistry. The authorized official of this NPI record is Dr. Paul I Sussman Dmd (Vp)

NPI
1215080205
Provider Legal Name
HOMETOWN DENTAL GROUP, PC
Other Organization Name
CENTER FOR COSMETIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
34 BUCKMAN RD ROCHESTER, NY 14615
Location Phone
(585) 309-1710
Location Fax
(585) 227-5215
Mailing Address
34 BUCKMAN RD ROCHESTER, NY 14615
Mailing Phone
(585) 227-4390
Mailing Fax
(585) 227-5215
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-21-2007
Last Update Date
09-25-2023
Code Navigator

A dentist like Center For Cosmetic Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
35176
License State
NY
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

34610 (NY)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PAUL I SUSSMAN DMD

Authorized Official Title
VP
Authorized Official Phone
(585) 227-4390

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2184860
Facility Type
Physician Office
Certificate Effective Date
May 26, 2024
Certificate Expiration Date
May 25, 2026
Laboratory Director
DR. PAUL I. SUSSMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Center For Cosmetic Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215080205, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 0 + 8 + 0 + 2 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1215080205.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist
34 BUCKMAN RD
ROCHESTER, NY 14615
Dentist
34 BUCKMAN RD
ROCHESTER, NY 14615
Dentist (General Practice)
34 BUCKMAN RD
ROCHESTER, NY 14615
Dentist (General Practice)
34 BUCKMAN RD
ROCHESTER, NY 14615
Clinic/Center (Dental)
34 BUCKMAN RD
ROCHESTER, NY 14615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215080205, enumerated as an "organization" on January 21, 2007.

The provider is located at 34 BUCKMAN RD ROCHESTER, NY 14615 and the phone number is (585) 309-1710.

Dentist with taxonomy code 122300000X.