Jack Richard Bansbach
Jack Richard Bansbach is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Licensed in Florida. Registered with an NPI since 2023.
- Licensed in
- FL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
625 Elmwood AveRochester, NY 14620-2913
Phone: (585) 353-9655
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN28832 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1952002412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 13, 2023 |
| Last updated in NPPES | April 26, 2024 |
| Certification date | April 26, 2024 |
| Mailing address | 468 French Rd, Rochester, NY 14618-4861 |
Other providers in Rochester
-
Dr. Eric Theodore Balta, MD
601 Elmwood Ave, Rochester, NY 14642-0001 · (585) 756-4800
-
Dr. Kavya Balusu, MD
1425 Portland Ave Bldg 3, Rochester, NY 14621-3095 · (585) 922-4000
-
Nikhil Bamarajpet, MD
601 Elmwood Ave, Rochester, NY 14642-0002 · (585) 275-2100
-
Kavya Sree Bana, MD
601 Elmwood Ave, Rochester, NY 14642-0001 · (585) 275-2100
-
Jay Amol Bapaye, MD
1425 Portland Ave Bldg 3, Rochester, NY 14621-3095 · (585) 922-4000
-
Ahmed a Habeeb Barazanchi
1555 Long Pond Rd, Rochester, NY 14626-4164 · (585) 723-7000
-
Ana Luisa Barbosa Torreao Dau
300 Crittenden Blvd, Rochester, NY 14642-2729 · (585) 275-3563
-
Dr. Vitaliya Bardal, DMD
625 Elmwood Ave, Rochester, NY 14620-2913 · (585) 275-5051