NICHOLAS ALEXANDER SIROTENKO
NPI 1891438412
Dentist - Pediatric Dentistry in Rochester, NY

Active since April 20, 2022
1655 ELMWOOD AVE STE 105, ROCHESTER, NY 14620(585) 427-8620 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2024, Sep 8, 2024, Apr 20, 2022 (3 updates tracked since 2022).

About Nicholas Alexander Sirotenko NPPES

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

NICHOLAS ALEXANDER SIROTENKO (NPI 1891438412) is an individual pediatric dentistry provider in Rochester, New York, licensed in New York (064177) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1891438412
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameNICHOLAS ALEXANDER SIROTENKO
Location Address1655 ELMWOOD AVE STE 105Rochester, NY 14620-3426
Mailing Address1655 Elmwood Ave Ste 105Rochester, NY 14620-3426
Sole ProprietorNo
Enumeration DateApril 20, 2022
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1891438412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 064177
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.

1655 ELMWOOD AVE STE 105, Rochester, NY 14620

Accepted Insurance

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891438412, enumerated as an "individual" on April 20, 2022.

The provider is located at 1655 ELMWOOD AVE STE 105 ROCHESTER, NY 14620 and the phone number is (585) 427-8620.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.