National Provider Identifier

Michael Delucia, DDS, CNMT, ARRT( N)

Michael Delucia, DDS, CNMT, ARRT( N) is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 723-8230.

NPI 1669935920Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1669935920
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
April 12, 2019
Last Updated
February 17, 2022

Practice Location

  • 2384 Ridgeway Ave
  • Rochester, NY 14626-4112

Phone: (585) 723-8230

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1669935920
Entity Type
Individual
Last Name
Delucia
First Name
Michael
Credential
DDS, CNMT, ARRT( N)
Mailing Street Address
2384 Ridgeway Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4112
Mailing Country
US
Mailing Phone
(585) 723-8230
Practice Street Address
2384 Ridgeway Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4112
Practice Country
US
Practice Phone
(585) 723-8230
Enumeration Date
April 12, 2019
Last Updated
February 17, 2022
Sex
Male
Sole Proprietor
No
Certification Date
February 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)