Organization · Type 2 NPI
Eastside Family Dental of Fairport, PC
Pediatric Dentistry · Fairport, NY
NPI number
1891369799
Active
Practice location
302 Cross Keys Office Park
Fairport, NY 14450-3511
Other practice locations
- 1136 NY-318, Waterloo, NY 13165 · (315) 539-5020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Fairport
About NPI 1891369799
Eastside Family Dental of Fairport, PC's National Provider Identifier is 1891369799, issued on May 14, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fairport, NY. The record was last updated on May 14, 2021.