National Provider Identifier
Canandaigua Pediatric Dentistry ,PC
Canandaigua Pediatric Dentistry ,PC is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Canandaigua, NY and a listed phone number of (585) 394-4058.
Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1427170844
- Provider Type
- Organization
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- April 05, 2007
- Last Updated
- August 22, 2020
Practice Location
- 325 West St
- Suite 101
- Canandaigua, NY 14424-1723
Phone: (585) 394-4058
Authorized Official
- Name
- Dr. Mark E Wohlfeld
- Title
- President
- Credentials
- DDS
- Phone
- (585) 394-4058
Specialties
- Pediatric Dentistry (1223P0221X)
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Full Record
- NPI
- 1427170844
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Canandaigua Pediatric Dentistry ,PC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 325 West St
- Mailing Address Line 2
- Suite 101
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1723
- Mailing Country
- US
- Mailing Phone
- (585) 394-4058
- Mailing Fax
- (585) 394-4058
- Practice Street Address
- 325 West St
- Practice Address Line 2
- Suite 101
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1723
- Practice Country
- US
- Practice Phone
- (585) 394-4058
- Practice Fax
- (585) 394-4058
- Enumeration Date
- April 05, 2007
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Wohlfeld
- Authorized Official First Name
- Mark
- Authorized Official Middle Name
- E
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 394-4058
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- DDS
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)
- Other Identifiers
- TF2412932 (NY, Nys Tax Id#)