National Provider Identifier

Shylon T Mathew, D.D.S.

Shylon T Mathew, D.D.S. is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Rochester, NY and a listed phone number of (585) 865-6691.

NPI 1487727756Rochester, NYPediatric Dentistry

Profile Overview

NPI
1487727756
Provider Type
Individual
Primary Specialty
Pediatric Dentistry
Enumeration Date
November 16, 2006
Last Updated
July 08, 2007

Practice Location

  • 1510 Ridge RD W
  • Rochester, NY 14615-2405

Phone: (585) 865-6691

Mailing Address

  • 18 High Manor Dr
  • Apt. 1
  • Henrietta, NY 14467-9109

Specialties

  • Pediatric Dentistry (1223P0221X)
Full Record
NPI
1487727756
Entity Type
Individual
Last Name
Mathew
First Name
Shylon
Middle Name
T
Credential
D.D.S.
Mailing Street Address
18 High Manor Dr
Mailing Address Line 2
Apt. 1
Mailing City
Henrietta
Mailing State
NY
Mailing ZIP Code
14467-9109
Mailing Country
US
Mailing Phone
(973) 615-5113
Practice Street Address
1510 Ridge RD W
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-2405
Practice Country
US
Practice Phone
(585) 865-6691
Enumeration Date
November 16, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X)