National Provider Identifier
Anthony J Mendicino, DDS
Anthony J Mendicino, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Sodus, NY and a listed phone number of (315) 483-1199.
Profile Overview
- NPI
- 1699876730
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- September 25, 2006
- Last Updated
- February 16, 2017
Practice Location
- 6692 Middle RD
- Suite 2100
- Sodus, NY 14551-9602
Phone: (315) 483-1199
Mailing Address
- PO Box 423
- Penn Yan, NY 14527-0423
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1699876730
- Entity Type
- Individual
- Last Name
- Mendicino
- First Name
- Anthony
- Middle Name
- J
- Credential
- DDS
- Mailing Street Address
- PO Box 423
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-0423
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 6692 Middle RD
- Practice Address Line 2
- Suite 2100
- Practice City
- Sodus
- Practice State
- NY
- Practice ZIP Code
- 14551-9602
- Practice Country
- US
- Practice Phone
- (315) 483-1199
- Practice Fax
- (315) 483-2451
- Enumeration Date
- September 25, 2006
- Last Updated
- February 16, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 70503GH (NY, Excellus Geneva Site), 02562825 (NY), 70461FL (NY, Excellus Sodus Site)