Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013651868 Individual Practitioner Male Practitioner

Ethan Benjamin Barkin

Dentist - Periodontics • Rochester, NY

Professional Overview & Biography Verified Profile Summary

Ethan Barkin is a registered healthcare professional specializing in Dentist - Periodontics in Rochester, NY. Practice services are available at 625 ELMWOOD AVE # 683 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 Elmwood Ave # 683

Rochester, NY 146202913

Telephone 5852755051

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Rochester, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 41.3 Yrs
Regional Practice Density
23 Specialists

Practicing in Rochester, NY (608 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-04
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License NY 064638

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2081 W Ridge Rd

Rochester, NY 14626

Phone: 5853269961

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sharath Chandra Chedella Venkata , BDS

Student in an Organized Health Care Education/Training Program

NPI 1003258377
NPI 1003557240
Dr. Arif Virani , DMD

Student in an Organized Health Care Education/Training Program

NPI 1013359371

Doctor of Dental Medicine

Michael Palluconi

Student in an Organized Health Care Education/Training Program

NPI 1013768605
Alexis Vasciannie

Student in an Organized Health Care Education/Training Program

NPI 1013844620
Dr. Christopher Danna , DDS

Student in an Organized Health Care Education/Training Program

NPI 1023756038

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 04, 2025

Registered at 2500 EAST AVE APT 3R, ROCHESTER, NY 146103139 (Tel: 6313565129)

NPI Profile Active April 26, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2022

Registered at 625 ELMWOOD AVE # 683, ROCHESTER, NY 146202913 (Tel: 5852755051)

📍
Updated Business Mailing Address April 26, 2022

Registered at 29 EBBTIDE LN, DIX HILLS, NY 117466748 (Tel: 6313565129)

👤
Provider Name / Credentials Updated April 26, 2022

Recorded as ETHAN BARKIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 26, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013651868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2022
Last Update: August 04, 2025
Sole Proprietor: No

Mailing Address

2500 East Ave Apt 3r

Rochester, NY 146103139

Phone: 6313565129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.