Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairport Dental, PC

Organization Pediatric Dentistry · NPI 1508479684

Fairport Dental, PC is a Pediatric Dentistry in Fairport, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

302 Cross Keys Ofc Park
Fairport, NY 14450-3511
Phone: (585) 223-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1508479684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Altobelli — Office Manager · (585) 223-5010
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020
Mailing address302 Cross Keys Office Park, Fairport, NY 14450-3511

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