Provider Demographics
NPI:1710446836
Name:FINGER LAKES DENTAL CARE OF NAPLES, PLLC
Entity Type:Organization
Organization Name:FINGER LAKES DENTAL CARE OF NAPLES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-919-6624
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512-0369
Mailing Address - Country:US
Mailing Address - Phone:585-374-8260
Mailing Address - Fax:
Practice Address - Street 1:24 MILL STREET
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:NY
Practice Address - Zip Code:14512-0369
Practice Address - Country:US
Practice Address - Phone:585-374-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty