Provider Demographics
NPI:1730284787
Name:GROVES & KELLEY DDS PC
Entity Type:Organization
Organization Name:GROVES & KELLEY DDS PC
Other - Org Name:D. GARY GROVES, DDS & CYNTHIA KELLEY GROVES, DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:D.
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:GROVES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-225-9114
Mailing Address - Street 1:50 CEDARFIELD COMMONS
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:74612
Mailing Address - Country:US
Mailing Address - Phone:585-225-9114
Mailing Address - Fax:585-225-7456
Practice Address - Street 1:50 CEDARFIELD COMMONS
Practice Address - Street 2:SUITE D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:74612
Practice Address - Country:US
Practice Address - Phone:585-225-9114
Practice Address - Fax:585-225-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental