National Provider Identifier

Sarah Josefina Smith, DDS

Sarah Josefina Smith, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 342-7902.

NPI 1184234627Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1184234627
Provider Type
Organization
Primary Specialty
General Practice Dentistry
Enumeration Date
August 07, 2020
Last Updated
August 10, 2020

Practice Location

  • 1299 Portland Ave Ste 4
  • Rochester, NY 14621-2727

Phone: (585) 342-7902

Mailing Address

  • PO Box 10797
  • Rochester, NY 14610-0797

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1184234627
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Sarah Josefina Smith, DDS
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
PO Box 10797
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-0797
Mailing Country
US
Mailing Phone
(585) 342-7902
Practice Street Address
1299 Portland Ave Ste 4
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2727
Practice Country
US
Practice Phone
(585) 342-7902
Enumeration Date
August 07, 2020
Last Updated
August 10, 2020
Authorized Official Last Name
Smith
Authorized Official First Name
Sarah
Authorized Official Middle Name
Josefina
Authorized Official Title
CEO
Authorized Official Phone
(585) 342-7902
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
DDS
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
August 10, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)