National Provider Identifier
Pan Dental PLLC
Pan Dental PLLC is listed in the NPPES registry with a primary specialty of Dental Clinic/Center in Rochester, NY and a listed phone number of (585) 271-1229.
Profile Overview
- NPI
- 1124831078
- Provider Type
- Organization
- Primary Specialty
- Dental Clinic/Center
- Enumeration Date
- January 27, 2025
- Last Updated
- January 27, 2025
Practice Location
- 1580 Elmwood Ave Ste 10
- Rochester, NY 14620-3620
Phone: (585) 271-1229
Specialties
- Dental Clinic/Center (261QD0000X)
Full Record
- NPI
- 1124831078
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Pan Dental PLLC
- Mailing Street Address
- 1580 Elmwood Ave Ste 10
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3620
- Mailing Country
- US
- Mailing Phone
- (585) 271-1229
- Practice Street Address
- 1580 Elmwood Ave Ste 10
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3620
- Practice Country
- US
- Practice Phone
- (585) 271-1229
- Enumeration Date
- January 27, 2025
- Last Updated
- January 27, 2025
- Authorized Official Last Name
- Pan
- Authorized Official First Name
- Kenny
- Authorized Official Title
- Owner
- Authorized Official Phone
- (646) 267-9419
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- DDS
- Certification Date
- January 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Clinic/Center (261QD0000X)