Smile Dental Services LLC

Primary specialty

DentistTaxonomy code 122300000X

License

054208 Issued in NY

Legal business name

SMILE DENTAL SERVICES LLC

Practice address

2765 Buffalo Rd
Rochester, NY 14624-1319

Phone

(585) 270-4178

Fax

(585) 270-4321

NPI assigned

Nov 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanna Hickok

Title

Billing

Phone

(315) 771-9532

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adila Khan, DMD

  • Dentist
  • Rochester, NY
  • NPI 1568861102
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1770989097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241319",
            "telephone_number": "585-270-4178",
            "fax_number": "585-270-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241319",
            "telephone_number": "585-270-4178",
            "fax_number": "585-270-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "HICKOK",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "315-771-9532"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy E Smart, LMFT
• Kevin Smeenk
• Lori Smegelski, CASAC
• Sarah Delayne Smetana
• Doreen Smethurst, LCSW ACSW
• Timothy Smilnak, M.D., M.P.H
• Martha Smith Lightfoot, N.P.
• Tyler Michael Smith-Strutz, PHARMD, BCPS
• Abby Justine Smith
• Alexa Smith, PA

• Dentist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.