Provider Demographics
NPI:1942379144
Name:ALBEE, JENNIFER R (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:R
Last Name:ALBEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 LONG POND RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5002
Mailing Address - Country:US
Mailing Address - Phone:585-225-8010
Mailing Address - Fax:
Practice Address - Street 1:1081 LONG POND RD STE 120
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5002
Practice Address - Country:US
Practice Address - Phone:585-225-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2019-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0490761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice