National Provider Identifier
Nicholas B Desiderio, D.D.S.
Nicholas B Desiderio, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 865-6691.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1942371653
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- November 13, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1510 Ridge RD W
- Rochester, NY 14615-2405
Phone: (585) 865-6691
Mailing Address
- 12 Autumn Wood
- Rochester, NY 14624-5315
Specialties
- General Practice Dentistry (1223G0001X)
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Full Record
- NPI
- 1942371653
- Entity Type
- Individual
- Last Name
- Desiderio
- First Name
- Nicholas
- Middle Name
- B
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 12 Autumn Wood
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-5315
- Mailing Country
- US
- Mailing Phone
- (585) 889-2413
- Practice Street Address
- 1510 Ridge RD W
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-2405
- Practice Country
- US
- Practice Phone
- (585) 865-6691
- Enumeration Date
- November 13, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)