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FAIRPORT DENTAL, P.C.
NPI 1508479684
Dentist - Pediatric Dentistry in Fairport, NY

Active since August 28, 2020
302 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450(585) 223-5010 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairport Dental, P.c. NPPES

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

FAIRPORT DENTAL, P.C. (NPI 1508479684) is a healthcare organization registered as a pediatric dentistry in Fairport, New York and active in the NPI registry since August 2020. The organization lists Jennifer Altobelli, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508479684
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFAIRPORT DENTAL, P.C.
Location Address302 CROSS KEYS OFFICE PARKFairport, NY 14450-3511
Mailing Address302 Cross Keys Office ParkFairport, NY 14450-3511 · (585) 223-5010
Phone(585) 223-5010
Organization SubpartNo
Authorized OfficialJennifer AltobelliOffice Manager · (585) 223-5010
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1508479684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
302 CROSS KEYS OFFICE PARK, Fairport, NY 14450
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Other Identifiers 1

Medicaid1588654826NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

EASTSIDE FAMILY DENTAL OF FAIRPORT, PC
Dentist (Pediatric Dentistry)
302 CROSS KEYS OFFICE PARK
FAIRPORT, NY 14450
Monroe County (585) 223-5010

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 Fairport Dental, P.C.'s NPI number?

The NPI number for Fairport Dental, P.C. is 1508479684. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Fairport Dental, P.C. located?

Fairport Dental, P.C. is located at 302 Cross Keys Office Park, Fairport, NY 14450. The listed phone number is (585) 223-5010.

What is Fairport Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fairport Dental, P.C. was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.