National Provider Identifier

Nicole Eleni Mooney, DDS

Nicole Eleni Mooney, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Rochester, NY and a listed phone number of (585) 922-3553.

NPI 1366535544Rochester, NYPediatric Dentistry

Profile Overview

NPI
1366535544
Provider Type
Individual
Primary Specialty
Pediatric Dentistry
Enumeration Date
October 02, 2006
Last Updated
August 20, 2014

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-3553

Specialties

  • Pediatric Dentistry (1223P0221X)
Full Record
NPI
1366535544
Entity Type
Individual
Last Name
Mooney
First Name
Nicole
Middle Name
Eleni
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-3553
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-3553
Enumeration Date
October 02, 2006
Last Updated
August 20, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X)
Other Identifiers
02683365 (NY)