Provider Demographics
NPI:1083856124
Name:GEMINIANI, ALESSANDRO (DDS, MS)
Entity Type:Individual
Prefix:
First Name:ALESSANDRO
Middle Name:
Last Name:GEMINIANI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WHITECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2928
Mailing Address - Country:US
Mailing Address - Phone:585-451-9978
Mailing Address - Fax:585-851-8652
Practice Address - Street 1:2052 CLINTON AVE S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5703
Practice Address - Country:US
Practice Address - Phone:585-244-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0560521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics