Provider Demographics
NPI:1215038989
Name:MONACELLI, ALBERT J (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:J
Last Name:MONACELLI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1603
Mailing Address - Country:US
Mailing Address - Phone:585-589-7025
Mailing Address - Fax:585-589-0398
Practice Address - Street 1:362 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1603
Practice Address - Country:US
Practice Address - Phone:585-589-7025
Practice Address - Fax:585-589-0398
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist