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General NPI Number Information
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NPI Number | 1316871908
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Entity Type | Organization
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Legal Business Name | SMALL TO TALL DENTISTRY AND ORTHODONTICS CHILI
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 3171 CHILI AVE STE 400
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City | ROCHESTER
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State | NY
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Zip | 14624-5440
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Country | US
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Telephone | 585-889-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 3171 CHILI AVE STE 400
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City | ROCHESTER
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State | NY
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Zip | 14624-5440
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Country | US
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Telephone | 585-889-1290
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MICHAEL ANTHONY MOLISANI
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Credential | DDS
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Telephone | 585-727-3538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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