Fairport Family Dental

LBN: Mary Ann Panara Dds And Jeffrey P Panara Dds
Fairport Family Dental is an health care organization with primary practice located at 83 S Main St , Fairport NY 14450-2161. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / General Practice is the primary health care specialty. Mary Ann Panara Dds And Jeffrey P Panara Dds can be contacted via phone (585) 223-9323, or through Panara, Marry Ann via phone (585) 223-9323.

Contact Information

Primary practice address
83 S Main St Fairport NY 14450-2161
Fax: (585) 223-0702
Website:
Authorized official contact:
Name: Panara, Marry Ann Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 044604 New York
Dental Providers / General Practice 1223G0001X 043442 New York
Suppliers / Customized Equipment 332BC3200X 044604 New York
Suppliers / Customized Equipment 332BC3200X 043442 New York

Profile Details

NPI number 1770011728
LBN Legal business name Mary Ann Panara Dds And Jeffrey P Panara Dds
DBA Doing business as Fairport Family Dental
Authorized official Panara, Marry Ann Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770011728 NPPES
New York Other 7040 EXCELLUS
New York Other 7239 EXCELLUS

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