National Provider Identifier
Macedon Dentistry PLLC
Macedon Dentistry PLLC is listed in the NPPES registry with a primary specialty of Dentist in Macedon, NY and a listed phone number of (315) 986-3545.
Source: public NPPES record, last updated April 18, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1083301303
- Provider Type
- Organization
- Primary Specialty
- Dentist
- Enumeration Date
- April 18, 2023
- Last Updated
- April 18, 2023
Practice Location
- 1212 Ny-31
- Macedon, NY 14502-1450
Phone: (315) 986-3545
Mailing Address
- PO Box 862
- Macedon, NY 14502-0862
Authorized Official
- Name
- Dr. Lisa A Spinello
- Title
- Owner
- Credentials
- DMD
- Phone
- (585) 319-6825
Specialties
- Dentist (122300000X)
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Full Record
- NPI
- 1083301303
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Macedon Dentistry PLLC
- Mailing Street Address
- PO Box 862
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-0862
- Mailing Country
- US
- Practice Street Address
- 1212 Ny-31
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-1450
- Practice Country
- US
- Practice Phone
- (315) 986-3545
- Enumeration Date
- April 18, 2023
- Last Updated
- April 18, 2023
- Authorized Official Last Name
- Spinello
- Authorized Official First Name
- Lisa
- Authorized Official Middle Name
- A
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 319-6825
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- DMD
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- April 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)