National Provider Identifier

Pedersen Dentistry, PLLC

Pedersen Dentistry, PLLC is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 473-3880.

NPI 1679231591Rochester, NYDentist

Source: public NPPES record, last updated December 08, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1679231591
Provider Type
Organization
Primary Specialty
Dentist
Enumeration Date
December 08, 2021
Last Updated
December 08, 2021

Practice Location

  • 400 Westfall RD
  • Rochester, NY 14620-4606

Phone: (585) 473-3880

Mailing Address

  • 18 Alameda Dr
  • Fairport, NY 14450-8790

Authorized Official

Name
Dr. Todd Richard Pedersen
Title
Member
Credentials
DDS
Phone
(585) 469-5433

Specialties

  • Dentist (122300000X)

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Organization Overview

Pedersen Dentistry, PLLC operates publicly as Rochester Modern Dentistry in Rochester, New York. The practice describes a dental team led by an experienced doctor with more than 35 years in practice and lists care offerings that include whitening, cleanings, fillings, emergency dentistry, dentures, and crowns. Its website also notes that the office is in network with Excellus and works with patients on insurance questions and out-of-pocket costs.

Full Record
NPI
1679231591
Entity Type
Organization
Organization Name
Pedersen Dentistry, PLLC
Mailing Street Address
18 Alameda Dr
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-8790
Mailing Country
US
Practice Street Address
400 Westfall RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4606
Practice Country
US
Practice Phone
(585) 473-3880
Enumeration Date
December 08, 2021
Last Updated
December 08, 2021
Authorized Official Last Name
Pedersen
Authorized Official First Name
Todd
Authorized Official Middle Name
Richard
Authorized Official Title
Member
Authorized Official Phone
(585) 469-5433
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
DDS
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
December 08, 2021
Taxonomies
Dentist (122300000X)