Provider Demographics
NPI:1811280878
Name:MORINI, CHELSEA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:ANN
Last Name:MORINI
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 1:6 MOHAWK PL
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-4306
Mailing Address - Country:US
Mailing Address - Phone:518-843-2191
Mailing Address - Fax:518-842-6040
Practice Address - Street 1:6 MOHAWK PL
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-4306
Practice Address - Country:US
Practice Address - Phone:518-843-2191
Practice Address - Fax:518-842-6040
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14590122300000X
NY055876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist