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.
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)