National Provider Identifier
Thomas John Destefano, D.M.D.
Thomas John Destefano, D.M.D. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Pittsford, NY and a listed phone number of (585) 248-2383.
Profile Overview
- NPI
- 1306860648
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- July 27, 2006
- Last Updated
- July 08, 2007
Practice Location
- 600 Kreag RD
- Pittsford, NY 14534-3746
Phone: (585) 248-2383
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1306860648
- Entity Type
- Individual
- Last Name
- Destefano
- First Name
- Thomas
- Middle Name
- John
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 600 Kreag RD
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-3746
- Mailing Country
- US
- Mailing Phone
- (585) 248-2383
- Mailing Fax
- (585) 248-5512
- Practice Street Address
- 600 Kreag RD
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-3746
- Practice Country
- US
- Practice Phone
- (585) 248-2383
- Practice Fax
- (585) 248-5512
- Enumeration Date
- July 27, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)