Small To Tall, Dentistry For Children, Pllc | |
3171 Chili Ave Ste 400 Rochester NY 14624-5440 | |
(585) 889-1290 | |
(585) 889-1345 |
Full Name | Small To Tall, Dentistry For Children, Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3171 Chili Ave Ste 400, Rochester, New York |
Authorized Official Name and Position | Alison Mathews Harding (MEMBER) |
Authorized Official Contact | 5857471587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Small To Tall, Dentistry For Children, Pllc 3171 Chili Ave Ste 400 Rochester NY 14624-5440 Ph: (585) 889-1290 | Small To Tall, Dentistry For Children, Pllc 3171 Chili Ave Ste 400 Rochester NY 14624-5440 Ph: (585) 889-1290 |
NPI Number | 1043789639 |
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Provider Enumeration Date | 11/13/2018 |
Last Update Date | 11/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043789639 | NPI | - | NPPES |
1366543613 | Other | NPPES | |
046302 | Other | NY | NY STATE EDUCATION DEPARTMENT |
02558092 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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