GENESEO ORTHODONTICS AND PEDIATRIC DENTISTRY PLLC (NPI# 1174099865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099865 |
| Entity Type | Organization |
| Organization Name | GENESEO ORTHODONTICS AND PEDIATRIC DENTISTRY PLLC |
| Practice Address |
70 Main Street Geneseo NY 14454 |
| Practice Telephone | 5852450050 |
| Practice Fax Number | 5855194226 |
| Mailing Telephone | 5852450050 |
| Mailing Fax Number | 5855194226 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | DR. MICHAEL ANTHONY MOLISARI (DOCTOR/OWNER) |
| Authorized Official Telephone | 5852450050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
70 MAIN STREET |
| City | GENESEO |
| State | NY |
| Zip Code | 14454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206537 | Mary Elizabeth Kruppner | Registered Nurse | 4050 Avon Road, Geneseo, NY 14454 | 2011-12-15 |
| 1639305089 | Genesis Internal Medicine Pllc | Internal Medicine | 50 E South St., Suite 600, Geneseo, NY 14454 | 2009-05-29 |
| 1912175621 | Nicholas H. Noyes Memorial Hospital | Clinic/Center | 4616 Milllenium Dr, Geneseo, NY 14454 | 2008-02-15 |
| 1770705188 | Vista Behavioral Health Medicine Pllc | Psychiatry & Neurology | 4245 Lakeville Rd, Suite 4a, Geneseo, NY 14454 | 2007-05-03 |
| 1396967931 | Keith William Koch | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
| 1639202542 | Pat A Terhaar | Nurse Practitioner | After Hours Care Center-livingston Health Services, 50 East South St., Geneseo, NY 14454 | 2007-03-13 |
| 1306993761 | Karla L. Mulligan | General Practice | 295 Mary Jemison Drive, Opwdd - Finger Lakes Office, Geneseo, NY 14454 | 2007-01-05 |
| 1902989338 | Heather A Dailor | Registered Nurse | 1 College Circle, Lauderdale Center for Health and Counseling, Geneseo, NY 14454 | 2006-10-21 |
| 1447331582 | Peter H. Cormack | Psychologist | Peter H. Cormack 4828 Lakeville Road, Geneseo, NY 14454 | 2006-10-17 |
| 1235227497 | Lauren Suzanne Rosella | Dentist | 3 Park Street, Doty Dental, Geneseo, NY 14454 | 2006-10-11 |
| Find all providers in zip 14454 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396967931 | Keith William Koch | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
| 1568684132 | Keith W. Koch, D.d.s.,p.c. | Dentist | 4376 Lakeville Rd., Geneseo, NY 14454 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.