National Provider Identifier

Renee Marie Pellegrino, D.D.S

Renee Marie Pellegrino, D.D.S is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 922-4103.

NPI 1023240173Rochester, NYDentist

Profile Overview

NPI
1023240173
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
August 21, 2009
Last Updated
January 24, 2024

Practice Location

  • 1455 E Ridge RD
  • Rochester, NY 14621-2006

Phone: (585) 922-4103

Mailing Address

  • 1425 Portland Ave
  • Pluta Dental Center At Rochester General Hospital
  • Rochester, NY 14621-3001

Specialties

  • Dentist (122300000X)
Full Record
NPI
1023240173
Entity Type
Individual
Last Name
Pellegrino
First Name
Renee
Middle Name
Marie
Name Prefix
Dr.
Credential
D.D.S
Mailing Street Address
1425 Portland Ave
Mailing Address Line 2
Pluta Dental Center At Rochester General Hospital
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-4554
Practice Street Address
1455 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2006
Practice Country
US
Practice Phone
(585) 922-4103
Practice Fax
(585) 922-4495
Enumeration Date
August 21, 2009
Last Updated
January 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
January 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)