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NPI Code Detail

MEDICARE: DR. ISABELLA ORTEGA DDS

MEDICARE: DR. ISABELLA ORTEGA 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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1205763794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ISABELLA ORTEGA DDS
Provider Business Mailing Address
First Line : 1455 E RIDGE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-2006
Country : US
Telephone Number : 585-974-5045
Fax Number :
Provider Business Practice Location Address
First Line : 1455 E RIDGE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-2006
Country : US
Telephone Number : 585-974-5045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ DR. ISABELLA ORTEGA DDS” Practice Location

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