Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAOLA MORENO
NPI 1073306627
Dentist in Rochester, NY

Q: What is Paola Moreno's NPI number?

The NPI number for Paola Moreno is 1073306627. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Q: What is Paola Moreno's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Paola Moreno was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2025

625 ELMWOOD AVE # 683, ROCHESTER, NY 14620(585) 275-5051 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 11, 2026, May 27, 2025 (2 updates tracked since 2025).

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About Paola Moreno NPPES

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

PAOLA MORENO (NPI 1073306627) is an individual dentist in Rochester, New York, licensed in New York (065461-01) and active in the NPI registry since May 2025. She maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1073306627

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NamePAOLA MORENO

Location Address625 ELMWOOD AVE # 683Rochester, NY 14620-2913

Mailing Address26 Le Marc CtRochester, NY 14618-5657 · (804) 937-0232

Phone(585) 275-5051

Sole ProprietorNo

Enumeration DateMay 27, 2025

Last NPPES UpdateOctober 11, 20262 updates tracked since enumeration

NPPES CertifiedOctober 11, 2026

✔ NPI 1073306627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 065461-01

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

625 ELMWOOD AVE # 683, Rochester, NY 14620

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Secondary Practice Location 1

Location 1905 Culver RdRochester, NY 14609-7115 · Phone (585) 276-7900

Other Providers at the Same Location NPPES 20

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

SHARATH CHANDRA CHEDELLA VENKATA BDS

Student in an Organized Health Care Education/Training Program