| Rochester Pediatric Dentistry Pllc | |
|
145 Sullys Trl Ste 1 Pittsford NY 14534-4561 | |
| (585) 381-2190 | |
| (585) 381-2198 |
| Full Name | Rochester Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 145 Sullys Trl Ste 1, Pittsford, New York |
| Authorized Official Name and Position | Erica Dimarco (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5853812190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochester Pediatric Dentistry Pllc 145 Sullys Trl Ste 1 Pittsford NY 14534-4561 Ph: (585) 381-2190 | Rochester Pediatric Dentistry Pllc 145 Sullys Trl Ste 1 Pittsford NY 14534-4561 Ph: (585) 381-2190 |
| NPI Number | 1972271005 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972271005 | NPI | - | NPPES |
| 04805038 | Medicaid | NY | |
| 02635096 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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