Provider Demographics
NPI:1831295773
Name:MORONO, ERIC JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOSEPH
Last Name:MORONO
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 1:271 MARSH RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1631
Mailing Address - Country:US
Mailing Address - Phone:585-385-3070
Mailing Address - Fax:585-385-1103
Practice Address - Street 1:271 MARSH RD
Practice Address - Street 2:SUITE 1
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1631
Practice Address - Country:US
Practice Address - Phone:585-385-3070
Practice Address - Fax:585-385-1103
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041000-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist