CANANDAIGUA DENTAL HEALTH PLLC NPI 1114064938

NPI Information

NPI: 1114064938
Provider Name: CANANDAIGUA DENTAL HEALTH, PLLC

Other Name: V, BRAIN GAGLIARDI, DMD

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
317 S MAIN ST
CANANDAIGUA, NY
ZIP 14424
Phone: (585) 394-5910
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CANANDAIGUA DENTAL HEALTH, PLLC is a dental clinic center in Canandaigua, NY. CANANDAIGUA DENTAL HEALTH, PLLC NPI is 1114064938. The provider is registered as an organization entity type.
The provider Other Name Is V, Brain Gagliardi, Dmd.

The provider's business location address is:

317 S MAIN ST
CANANDAIGUA, NY
ZIP 14424-118
Phone: (585) 394-5910

The provider's authorized official is Jo Anna S Gagliardi .
The authorized official title is Administrator and has the following contact phone number (585) 394-5910.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	045901	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	045901	OTHER	NEW YORK	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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