Individual
DR. DANIEL PAUL BARLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1101 ENGLISH RD, SUITE B, ROCHESTER, NY 14616-2029
(585) 227-4900
(585) 225-7073
Mailing address
1101 ENGLISH RD., SUITE B, ROCHESTER, NY 14616-2029
(585) 227-4900
(585) 225-7073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038149-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00852740
—
NY
01
—
038149-1
NYS DENTAL LICENSE
NY
01
—
1612322066
NYS TAX COLLECTION NUMBER
NY
Enumeration date
07/26/2006
Last updated
07/09/2007
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