# PEDERSEN DENTAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marcellus Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053943357
- **Authorized official:** DR. TODD PEDERSEN DDS (OWNER)
- **Authorized official phone:** (585) 469-5433

## Contact information

- **Practice address:** 28 E MAIN ST, MARCELLUS, NY 13108-1226
- **Practice address phone:** (315) 673-1131
- **Mailing address:** 18 ALAMEDA DR, FAIRPORT, NY 14450-8790
- **Mailing address phone:** (585) 469-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2020
- **Last updated:** 02/05/2020