Healthcare Provider Details

I. General information

NPI: 1356141907
Provider Name (Legal Business Name): LIA ALLETTO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 LATONA RD STE 100
ROCHESTER NY
14626-2723
US

IV. Provider business mailing address

550 LATONA RD STE 100
ROCHESTER NY
14626-2723
US

V. Phone/Fax

Practice location:
  • Phone: 585-663-2130
  • Fax: 585-663-7213
Mailing address:
  • Phone: 585-663-2130
  • Fax: 585-663-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number065510
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: