National Provider Identifier

Samantha A Vitagliano, DMD

Samantha A Vitagliano, DMD is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Fairport, NY and a listed phone number of (585) 223-2221.

NPI 1669412557Fairport, NYGeneral Practice Dentistry

Profile Overview

NPI
1669412557
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
June 07, 2006
Last Updated
July 08, 2007

Practice Location

  • 6827 Pittsford Palmyra Road
  • Fairport, NY 14450

Phone: (585) 223-2221

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1669412557
Entity Type
Individual
Last Name
Vitagliano
First Name
Samantha
Middle Name
A
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
6827 Pittsford Palmyra Road
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Mailing Phone
(585) 223-2221
Mailing Fax
(585) 223-2308
Practice Street Address
6827 Pittsford Palmyra Road
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 223-2221
Practice Fax
(585) 223-2308
Enumeration Date
June 07, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
7037 (NY, Excellus BCBS Rochester), 629880 (United Concordia)