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

Tag Orthodontics PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1316725096

Tag Orthodontics PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Camillus, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4981 W Genesee St
Camillus, NY 13031-2313
Phone: (315) 487-3335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1316725096
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTag Orthodontics PLLC
Authorized official Stacy Pope — Project Manager · (616) 737-9401
Other names Paciorek Orthodontics
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address5300 Patterson Ave Se Ste 110, Grand Rapids, MI 49512-9758

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