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EASTSIDE FAMILY DENTAL OF FAIRPORT, PC
NPI 1891369799
Dentist - Pediatric Dentistry in Fairport, NY

Active since May 14, 2021
302 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450(585) 223-5010 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Family Dental Of Fairport, Pc NPPES

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

EASTSIDE FAMILY DENTAL OF FAIRPORT, PC (NPI 1891369799) is a healthcare organization registered as a pediatric dentistry in Fairport, New York and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Waterloo and lists Jennifer Altobelli, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891369799
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEASTSIDE FAMILY DENTAL OF FAIRPORT, PC
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 DateMay 14, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1891369799 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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Secondary Practice Location 1

Location 11136 NY-318Waterloo, NY 13165 · Phone (315) 539-5020

Other Identifiers 1

Other1851482988NY · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

FAIRPORT DENTAL, P.C.
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 Eastside Family Dental Of Fairport, PC's NPI number?

The NPI number for Eastside Family Dental Of Fairport, PC is 1891369799. It was assigned to this organization in the NPPES registry on May 14, 2021.

Where is Eastside Family Dental Of Fairport, PC located?

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

What is Eastside Family Dental Of Fairport, PC'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 Eastside Family Dental Of Fairport, PC was last updated on May 14, 2021. 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.