MEDICARE: PRESTON ORTHODONTICS, PLLC

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	052380-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1669698593	OTHER	NY	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1477947786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTON ORTHODONTICS, PLLC

Provider Business Mailing Address
First Line	:	2154 FAIRPORT NINE MILE POINT ROAD
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450
Country	:	US
Telephone Number	:	585-880-5520
Fax Number	:

Provider Business Practice Location Address
First Line	:	2154 FAIRPORT NINE MILE POINT ROAD
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450
Country	:	US
Telephone Number	:	585-880-5520
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST/OWNER
Name	:	DR. JANIS P PRESTON
Credential	:	DDS
Telephone Number	:	585-880-5520

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	11/07/2016

Similar Medicare Providers

1144168006 — MARCI KUHN
Practice Location Address:

38 W CHURCH ST
FAIRPORT, NY
14450-2130

Practice Phone: 585-421-2000
Practice Fax:

1053295899 — ABIGAIL CASTLE BALDWIN JOHN DMD
Practice Location Address:

6800 PITTSFORD PALMYRA RD STE 110
FAIRPORT, NY
14450-3514

Practice Phone: 585-223-5330
Practice Fax:

1790338507 — CAROLYN MARIE O'BRIEN
Practice Location Address:

39 ROYALE DR
FAIRPORT, NY
14450-8441

Practice Phone: 585-683-4039
Practice Fax:

1053269027 — CARIS TRIPPE RN
Practice Location Address:

41 OCONNOR RD
FAIRPORT, NY
14450-1327

Practice Phone: 585-377-4660
Practice Fax:

1689192916 — KAITLIN MCMAHON LCSW
Practice Location Address:

18 FAIRFIELD DR
FAIRPORT, NY
14450-2233

Practice Phone: 929-457-1102
Practice Fax:

1811844319 — NIKOLE CARMEL LPN
Practice Location Address:

38 W CHURCH ST
FAIRPORT, NY
14450-2176

Practice Phone: 585-421-2000
Practice Fax:

1861347239 — KARLEE KESSELRING
Practice Location Address:

100 CROSSING CREEK DR
FAIRPORT, NY
14450-9614

Practice Phone: 585-472-6861
Practice Fax:

Directions to “PRESTON ORTHODONTICS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.