MARY ANN PANARA DDS AND JEFFREY P PANARA DDS NPI 1770011728

NPI Information

  • NPI: 1770011728
  • Provider Name: MARY ANN PANARA DDS AND JEFFREY P PANARA DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: FAIRPORT FAMILY DENTAL
  • Address: 83 S MAIN ST
    FAIRPORT, NY
    ZIP 14450
  • Phone: (585) 223-9323

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NPI Details

MARY ANN PANARA DDS AND JEFFREY P PANARA DDS is a general practice dentist in Fairport, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MARY ANN PANARA DDS AND JEFFREY P PANARA DDS NPI is 1770011728. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fairport Family Dental.

The provider's business location address is:

83 S MAIN ST
FAIRPORT, NY
ZIP 14450-161
Phone: (585) 223-9323
Fax: (585) 223-0702

The provider's authorized official is Marry Ann Panara .
The authorized official title is Owner/dentist and has the following contact phone number (585) 223-9323.

The enumeration date for this NPI number is 6/2/2017 and was last updated on 7/21/2022.

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
11223G0001XDentistGeneral Practice044604NEW YORKNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment044604NEW YORKNo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment043442NEW YORKNo
41223G0001XDentistGeneral Practice043442NEW YORKYes

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
17040OTHERNEW YORKEXCELLUS
27239OTHERNEW YORKEXCELLUS

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: 3/30/2025

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