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Bernadette Marino DDS PLLC

Organization Active NPI General Practice Dentistry · Rochester, NY

NPI 1295464352 · NPPES record last updated Jun 10, 2022

Key facts

NPI
1295464352
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
BERNADETTE MARINO DDS PLLC
Practice address
139 Spencerport Rd
Rochester, NY 14606-5207
Phone
(585) 429-6943
Fax
(585) 429-7012
NPI assigned
Jun 6, 2022
Organization subpart
No

Authorized official

Name
Dr. Bernadette Marino, DDS NPI 1568618775
Title
Dentist/Owner
Phone
(585) 429-6943

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

139 Spencerport Rd
Rochester, NY 14606
Phone (585) 429-6943

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

139 Spencerport Rd
Rochester, NY 14606-5207

Mailing address

139 Spencerport Rd
Rochester, NY 14606-5207
Phone (585) 429-6943

Other names

  • Vicaretti Dental Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2022.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1295464352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SPENCERPORT RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065207",
            "telephone_number": "585-429-6943",
            "fax_number": "585-429-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SPENCERPORT RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065207",
            "telephone_number": "585-429-6943",
            "fax_number": "585-429-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE MARINO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "585-429-6943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vicaretti Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

All providers in Rochester, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.