PEDERSEN DENTAL SERVICES PC
NPI 1053943357
Clinic/Center - Dental in Marcellus, NY

Active since February 05, 2020
28 E MAIN ST, MARCELLUS, NY 13108(315) 673-1131 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pedersen Dental Services Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDERSEN DENTAL SERVICES PC (NPI 1053943357), doing business as Marcellus Family Dentistry, is a healthcare organization registered as a dental in Marcellus, New York and active in the NPI registry since February 2020. The organization lists Todd Pedersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1053943357
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDERSEN DENTAL SERVICES PC
Location Address28 E MAIN STMarcellus, NY 13108-1226
Mailing Address18 Alameda DrFairport, NY 14450-8790 · (585) 469-5433
Organization SubpartNo
Authorized OfficialTodd PedersenOwner · (585) 469-5433
Enumeration DateFebruary 5, 2020
NPI 1053943357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
28 E MAIN ST, Marcellus, NY 13108

Other Names 1

Doing Business AsMarcellus Family Dentistry

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
28 E MAIN ST
MARCELLUS, NY 13108
Non-Pharmacy Dispensing Site
28 E MAIN ST
MARCELLUS, NY 13108
Nurse Practitioner (Family)
28 E MAIN ST
MARCELLUS, NY 13108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedersen Dental Services PC's NPI number?

The NPI number for Pedersen Dental Services PC is 1053943357. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as Marcellus Family Dentistry.

Where is Pedersen Dental Services PC located?

Pedersen Dental Services PC is located at 28 E Main St, Marcellus, NY 13108. The listed phone number is (315) 673-1131.

What is Pedersen Dental Services PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Pedersen Dental Services PC accept?

Health plans from UnitedHealthcare list Pedersen Dental Services PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pedersen Dental Services PC was last updated on February 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.