| A Dentist 4 Kids, Pllc | |
|
1081 Long Pond Rd Ste 130 Rochester NY 14626-5002 | |
| (585) 538-7230 | |
| (585) 538-7231 |
| Full Name | A Dentist 4 Kids, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1081 Long Pond Rd Ste 130, Rochester, New York |
| Authorized Official Name and Position | Zachary Mills (OWNER) |
| Authorized Official Contact | 5855387230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Dentist 4 Kids, Pllc 1081 Long Pond Rd Ste 130 Rochester NY 14626-5002 Ph: (585) 538-7230 | A Dentist 4 Kids, Pllc 1081 Long Pond Rd Ste 130 Rochester NY 14626-5002 Ph: (585) 538-7230 |
| NPI Number | 1780235382 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780235382 | NPI | - | NPPES |
| 0514344 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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