National Provider Identifier

Warren Jay Waldow Jr., D.D.S., M.P.H.

Warren Jay Waldow Jr., D.D.S., M.P.H. is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Fairport, NY and a listed phone number of (585) 223-5010.

NPI 1588654826Fairport, NYPediatric Dentistry

Profile Overview

NPI
1588654826
Provider Type
Individual
Primary Specialty
Pediatric Dentistry
Enumeration Date
October 27, 2005
Last Updated
July 08, 2007

Practice Location

  • 6819 Pittsford Palmyra RD
  • Fairport, NY 14450-3504

Phone: (585) 223-5010

Specialties

  • Pediatric Dentistry (1223P0221X)
Full Record
NPI
1588654826
Entity Type
Individual
Last Name
Waldow
First Name
Warren
Middle Name
Jay
Name Suffix
Jr.
Credential
D.D.S., M.P.H.
Mailing Street Address
6819 Pittsford Palmyra RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3504
Mailing Country
US
Mailing Phone
(585) 223-5010
Mailing Fax
(585) 223-1927
Practice Street Address
6819 Pittsford Palmyra RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3504
Practice Country
US
Practice Phone
(585) 223-5010
Practice Fax
(585) 223-1927
Enumeration Date
October 27, 2005
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X)