Organization
SMALL TO TALL DENTISTRY AND ORTHODONTICS BROCKPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY MOLISANI DDS (MEMBER)
(585) 727-3538
Entity
Organization
Contact information
Practice address
6 SWEDEN LN STE 2, BROCKPORT, NY 14420-2553
(585) 637-8125
Mailing address
6 SWEDEN LN STE 2, BROCKPORT, NY 14420-2553
(585) 637-8125
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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