| Small Smiles Dentistry Of Rochester, Llc | |
|
728 Ridge Rd E Rochester NY 14621-1719 | |
| (585) 663-1624 | |
| Not Available |
| Full Name | Small Smiles Dentistry Of Rochester, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 728 Ridge Rd E, Rochester, New York |
| Authorized Official Name and Position | Trudy Williams (DIRECTOR, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Smiles Dentistry Of Rochester, Llc 201 W 8th St Suite 810 Pueblo CO 81003-3038 Ph: (719) 562-4447 | Small Smiles Dentistry Of Rochester, Llc 728 Ridge Rd E Rochester NY 14621-1719 Ph: (585) 663-1624 |
| NPI Number | 1912916081 |
|---|---|
| Provider Enumeration Date | 08/06/2006 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912916081 | NPI | - | NPPES |
| 70491SS | Other | NY | EXCELLUS BCBS |
| 02617178 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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