National Provider Identifier

Small Smiles Dentistry Of Rochester, LLC

Small Smiles Dentistry Of Rochester, LLC is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 663-1624.

NPI 1912916081Rochester, NYGeneral Practice Dentistry

Source: public NPPES record, last updated May 17, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1912916081
Provider Type
Organization
Primary Specialty
General Practice Dentistry
Enumeration Date
August 06, 2006
Last Updated
May 17, 2010

Practice Location

  • 728 Ridge RD E
  • Rochester, NY 14621-1719

Phone: (585) 663-1624

Mailing Address

  • 201 W 8Th St
  • Suite 810
  • Pueblo, CO 81003-3038

Authorized Official

Name
MS. Trudy Williams
Title
Director, Licensing & Credentialing
Phone
(615) 750-0342

Specialties

  • General Practice Dentistry (1223G0001X)

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Organization Overview

Small Smiles Dentistry of Rochester, LLC, also referred to as the Rochester “Small Smiles” dental clinic, was a dental clinic in Rochester, New York. New York appellate records name the Rochester entity alongside FORBA Holdings, FORBA NY, and related defendants in coordinated Small Smiles litigation. Federal materials describe FORBA/Church Street Health Management as managing a national chain of Small Smiles Centers, and HHS OIG later described that chain as pediatric dental clinics serving primarily children on Medicaid, with compliance oversight tied to a corporate integrity agreement.

Full Record
NPI
1912916081
Entity Type
Organization
Organization Name
Small Smiles Dentistry Of Rochester, LLC
Mailing Street Address
201 W 8Th St
Mailing Address Line 2
Suite 810
Mailing City
Pueblo
Mailing State
CO
Mailing ZIP Code
81003-3038
Mailing Country
US
Mailing Phone
(719) 562-4447
Practice Street Address
728 Ridge RD E
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1719
Practice Country
US
Practice Phone
(585) 663-1624
Enumeration Date
August 06, 2006
Last Updated
May 17, 2010
Authorized Official Last Name
Williams
Authorized Official First Name
Trudy
Authorized Official Title
Director, Licensing & Credentialing
Authorized Official Phone
(615) 750-0342
Organization Subpart
No
Authorized Official Name Prefix Text
MS.
Taxonomy Group 1
193400000X Single Specialty Group
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
70491SS (NY, Excellus BCBS), 02617178 (NY)