Organization
PRESTON ORTHODONTICS, PLLC
Active
Organization
PRESTON ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIS P PRESTON DDS (ORTHODONTIST/OWNER)
(585) 880-5520
Entity
Organization
Contact information
Practice address
2154 FAIRPORT NINE MILE POINT ROAD, FAIRPORT, NY 14450
(585) 880-5520
Mailing address
2154 FAIRPORT NINE MILE POINT ROAD, FAIRPORT, NY 14450
(585) 880-5520
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052380-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669698593
INDIVIDUAL NPI
NY
Enumeration date
03/25/2015
Last updated
11/07/2016
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