PITTSFORD PEDIATRIC DENTISTRY PLLC NPI 1992236806

NPI Information

  • NPI: 1992236806
  • Provider Name: PITTSFORD PEDIATRIC DENTISTRY PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: PITTSFORD PEDIATRIC DENTISTRY
  • Address: 90 OFFICE PKWY
    PITTSFORD, NY
    ZIP 14534
  • Phone: (585) 383-0640

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NPI Details

PITTSFORD PEDIATRIC DENTISTRY PLLC is a dental clinic center in Pittsford, NY. PITTSFORD PEDIATRIC DENTISTRY PLLC NPI is 1992236806. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pittsford Pediatric Dentistry.

The provider's business location address is:

90 OFFICE PKWY
PITTSFORD, NY
ZIP 14534-749
Phone: (585) 383-0640
Fax: (585) 383-1463

The provider's authorized official is Doron Kochman .
The authorized official title is Dentist/owner and has the following contact phone number (585) 383-0640.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental036119NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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