Organization
SMALL TO TALL DENTISTRY AND ORTHODONTICS BROCKPORT
Active
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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