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.
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
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1912916081
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- 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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 70491SS (NY, Excellus BCBS), 02617178 (NY)