UNIVERSITY DENTAL FACULTY PRACTICE GROUP
NPI 1306929013
Dentist - General Practice in Rochester, NY

Active since October 24, 2006
2400 S CLINTON AVE STE H220, ROCHESTER, NY 14618(585) 341-7177(585) 475-9265 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About University Dental Faculty Practice Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY DENTAL FACULTY PRACTICE GROUP (NPI 1306929013) is a healthcare organization registered as a general practice in Rochester, New York and active in the NPI registry since October 2006. The organization maintains 5 additional practice locations and lists David Levy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306929013
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUNIVERSITY DENTAL FACULTY PRACTICE GROUP
Location Address2400 S CLINTON AVE STE H220Rochester, NY 14618-2689
Mailing Address625 Elmwood Ave., Box 683Rochester, NY 14620-2913 · (585) 758-0969 · Fax (585) 475-9265
Fax(585) 475-9265
Organization SubpartNo
Authorized OfficialDavid LevyMedical Director · (585) 275-0485
Enumeration DateOctober 24, 2006
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1306929013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
2400 S CLINTON AVE STE H220, Rochester, NY 14618

Secondary Practice Locations 5

Location 1601 Elmwood AveRochester, NY 14642-0001 · Phone (585) 275-5531 · Fax (585) 475-9265
Location 27329 Seneca Rd NHornell, NY 14843-9684 · Phone (585) 275-5531 · Fax (585) 475-9265
Location 3180 Sawgrass Dr Ste 100Rochester, NY 14620-4652 · Phone (585) 275-5531 · Fax (585) 475-9265
Location 4625 Elmwood AveRochester, NY 14620-2913 · Phone (585) 273-1913 · Fax (585) 475-9265
Location 52400 S Clinton Ave Ste H125Rochester, NY 14618-2641 · Phone (585) 341-7316 · Fax (585) 475-9265

Other Identifiers 6

Other5529NY · Blue Shield
Other70078NY · Blue Shield
Other5467NY · Blue Shield
OtherG0187522590NY · Blue Choice
Other7309NY · Blue Shield
Other7876NY · Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Dental Faculty Practice Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to University Dental Faculty Practice Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Oral Surgery
NPI 1427217199
2400 S CLINTON AVE BLDG H SUITE 125
Rochester, NY 14618
(585) 275-9004
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1114215308
625 ELMWOOD AVE
Rochester, NY 14620
(585) 275-5553
✔ PECOS✔ Accepts Medicare1.6 mi
Oral Surgery
NPI 1134895402
625 ELMWOOD AVE
Rochester, NY 14620
(585) 275-5051
✔ PECOS✔ Accepts Medicare1.6 mi
Oral Surgery
NPI 1396276879
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-5531
✔ PECOS✔ Accepts Medicare1.6 mi
Dentist
NPI 1689122988
UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE
Rochester, NY 14642
(585) 784-8200
✔ PECOS✔ Accepts Medicare2.1 mi
Oral Surgery
NPI 1194271445
1365 CLIFTON,BUILDING B, ORAL AND MAXILLOFACIAL SURGERY SUITE 2300
Atlanta, GA 30322
(205) 566-0435
✔ PECOS✔ Accepts Medicare739 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Dental Faculty Practice Group's NPI number?

The NPI number for University Dental Faculty Practice Group is 1306929013. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is University Dental Faculty Practice Group located?

University Dental Faculty Practice Group is located at 2400 S Clinton Ave Ste H220, Rochester, NY 14618. The listed phone number is (585) 341-7177.

What is University Dental Faculty Practice Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is University Dental Faculty Practice Group enrolled in Medicare?

Yes. University Dental Faculty Practice Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Dental Faculty Practice Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to University Dental Faculty Practice Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (4) and Dentist (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for University Dental Faculty Practice Group was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.