National Provider Identifier
Molly Koochekpour, DDS
Molly Koochekpour, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Victor, NY and a listed phone number of (716) 380-7143.
Profile Overview
- NPI
- 1730701657
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- May 13, 2020
- Last Updated
- August 01, 2021
Practice Location
- 277 W Main St
- Victor, NY 14564-1123
Phone: (716) 380-7143
Mailing Address
- 1635 Crittenden RD Apt 5
- Rochester, NY 14623-2361
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1730701657
- Entity Type
- Individual
- Last Name
- Koochekpour
- First Name
- Molly
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 1635 Crittenden RD Apt 5
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2361
- Mailing Country
- US
- Practice Street Address
- 277 W Main St
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-1123
- Practice Country
- US
- Practice Phone
- (716) 380-7143
- Enumeration Date
- May 13, 2020
- Last Updated
- August 01, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 01, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)