National Provider Identifier
Andrey Ustinenkov, D.D.S.
Andrey Ustinenkov, D.D.S. is listed in the NPPES registry with a primary specialty of Dentist in Canandaigua, NY and a listed phone number of (585) 412-5040.
Profile Overview
- NPI
- 1164664207
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 06, 2009
- Last Updated
- September 19, 2012
Practice Location
- 308 Eastern Blvd
- Aspen Dental
- Canandaigua, NY 14424
Phone: (585) 412-5040
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1164664207
- Entity Type
- Individual
- Last Name
- Ustinenkov
- First Name
- Andrey
- Credential
- D.D.S.
- Mailing Street Address
- 308 Eastern Blvd
- Mailing Address Line 2
- Aspen Dental
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424
- Mailing Country
- US
- Practice Street Address
- 308 Eastern Blvd
- Practice Address Line 2
- Aspen Dental
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424
- Practice Country
- US
- Practice Phone
- (585) 412-5040
- Enumeration Date
- April 06, 2009
- Last Updated
- September 19, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)