| Canandaigua Pediactric Dental Group | |
|
325 West St Suite 101 Canandaigua NY 14424-1723 | |
| (585) 394-4058 | |
| (585) 394-4058 |
| Full Name | Canandaigua Pediactric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 325 West St, Canandaigua, New York |
| Authorized Official Name and Position | Mark E Wohlfeld (PRESIDENT) |
| Authorized Official Contact | 5853944058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canandaigua Pediactric Dental Group 325 West St Suite 101 Canandaigua NY 14424-1723 Ph: (585) 394-4058 | Canandaigua Pediactric Dental Group 325 West St Suite 101 Canandaigua NY 14424-1723 Ph: (585) 394-4058 |
| NPI Number | 1427170844 |
|---|---|
| Provider Enumeration Date | 04/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427170844 | NPI | - | NPPES |
| TF2412932 | Other | NY | NYS TAX ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 035232 (New York) | Primary |
Gullo Dental, Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 330 N Main St, Canandaigua, NY 14424 Phone: 585-394-4664 Fax: 585-394-0492 | |
Lux Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Brook St, Canandaigua, NY 14424 Phone: 585-394-8071 Fax: 585-394-8529 | |
Finger Lakes Dental Care, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 329 South Main Street, Canandaigua, NY 14424 Phone: 585-394-1930 Fax: 585-394-1938 | |
V, Brain Gagliardi, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S Main St, Canandaigua, NY 14424 Phone: 585-394-5910 | |
Benedict F. Gullo, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Canandaigua, NY 14424 Phone: 585-394-4664 Fax: 585-394-0492 | |
Dental Care Of Canandaigua Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 N Main St, Canandaigua, NY 14424 Phone: 585-394-5910 Fax: 595-394-6216 |