Provider Demographics
NPI:1588000814
Name:ALMAGUER BEZANILLA, AYMEE (DDS)
Entity Type:Individual
Prefix:
First Name:AYMEE
Middle Name:
Last Name:ALMAGUER BEZANILLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-3660
Mailing Address - Country:US
Mailing Address - Phone:585-467-4513
Mailing Address - Fax:585-467-4665
Practice Address - Street 1:11116 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-2249
Practice Address - Country:US
Practice Address - Phone:727-869-1200
Practice Address - Fax:727-310-2937
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL224151223G0001X, 122300000X
NY058974122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice