| Modern Periodontics, Pc | |
|
1680 Monroe Ave Suite A Rochester NY 14618-1417 | |
| (585) 242-8980 | |
| (585) 256-0578 |
| Full Name | Modern Periodontics, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1680 Monroe Ave, Rochester, New York |
| Authorized Official Name and Position | Allan John Romeo (PRESIDENT) |
| Authorized Official Contact | 5852428980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Periodontics, Pc 1680 Monroe Ave Suite A Rochester NY 14618-1417 Ph: (585) 242-8980 | Modern Periodontics, Pc 1680 Monroe Ave Suite A Rochester NY 14618-1417 Ph: (585) 242-8980 |
| NPI Number | 1801984901 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801984901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 042046 (New York) | Primary |
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