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PEDERSEN DENTISTRY, PLLC
NPI 1679231591
Dentist in Rochester, NY

Active since December 08, 2021
400 WESTFALL RD, ROCHESTER, NY 14620(585) 473-3880 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pedersen Dentistry, Pllc NPPES

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

PEDERSEN DENTISTRY, PLLC (NPI 1679231591) is a healthcare organization registered as a dentist in Rochester, New York and active in the NPI registry since December 2021. The organization lists Todd Richard Pedersen, Member, as its authorized official.

NPPES Registry Identity

NPI1679231591
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePEDERSEN DENTISTRY, PLLC
Location Address400 WESTFALL RDRochester, NY 14620-4606
Mailing Address18 Alameda DrFairport, NY 14450-8790
Phone(585) 473-3880
Organization SubpartNo
Authorized OfficialTodd Richard PedersenMember · (585) 469-5433
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1679231591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
400 WESTFALL RD, Rochester, NY 14620
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Other Names 1

Other NameRochester Modern Dentistry

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.

DR. STEPHEN ROBERT BURGART DDS
Dentist (General Practice)
400 WESTFALL RD
ROCHESTER, NY 14620
Monroe County (585) 473-3880

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 Dentistry, PLLC's NPI number?

The NPI number for Pedersen Dentistry, PLLC is 1679231591. It was assigned to this organization in the NPPES registry on December 8, 2021. The provider is also known as Rochester Modern Dentistry.

Where is Pedersen Dentistry, PLLC located?

Pedersen Dentistry, PLLC is located at 400 Westfall Rd, Rochester, NY 14620. The listed phone number is (585) 473-3880.

What is Pedersen Dentistry, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pedersen Dentistry, PLLC was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.