National Provider Identifier
Carmen M. Vidal, D.D.S
Carmen M. Vidal, D.D.S is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 865-7030.
Profile Overview
- NPI
- 1538389440
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 26, 2007
- Last Updated
- August 21, 2018
Practice Location
- 2104 E Henrietta RD
- Rochester, NY 14623
Phone: (585) 865-7030
Mailing Address
- 564 E Ridge RD
- Rochester, NY 14621-1233
Specialties
- Dentist (122300000X)
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1538389440
- Entity Type
- Individual
- Last Name
- Vidal
- First Name
- Carmen
- Middle Name
- M.
- Credential
- D.D.S
- Mailing Street Address
- 564 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1233
- Mailing Country
- US
- Mailing Phone
- (585) 342-1323
- Practice Street Address
- 2104 E Henrietta RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623
- Practice Country
- US
- Practice Phone
- (585) 865-7030
- Enumeration Date
- April 26, 2007
- Last Updated
- August 21, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), General Practice Dentistry (1223G0001X)
- Other Identifiers
- 03218893 (NY)