MEDICARE: CHRISTOPHER LEPORE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	064759	NY
2	390200000X	Student in an Organized Health Care Education/Training Program	84830	CT

General Provider Information

NPI Number	:	1669239604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LEPORE DDS

Provider Business Mailing Address
First Line	:	7 ROYAL HUNT LN
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-9744
Country	:	US
Telephone Number	:	585-645-8476
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 WHITE SPRUCE BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-1608
Country	:	US
Telephone Number	:	585-271-0549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	05/26/2026

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