Provider Demographics
NPI:1770698003
Name:ROSSITTO, VINCENT J SR (DDS)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:J
Last Name:ROSSITTO
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1784 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-3157
Mailing Address - Country:US
Mailing Address - Phone:716-823-9944
Mailing Address - Fax:716-823-1258
Practice Address - Street 1:1784 CLINTON ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14206-3157
Practice Address - Country:US
Practice Address - Phone:716-823-9944
Practice Address - Fax:716-823-1258
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0336211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice