Victor Smiles Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VICTOR SMILES DENTAL, PLLC

Practice address

7249 State RT-96
Victor, NY 14564

Phone

(585) 919-6624

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Morello

Title

Director of Finance

Phone

(585) 919-6624

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1831837079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242118",
            "telephone_number": "585-919-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7249 STATE RT-96",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "14564",
            "telephone_number": "585-919-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR SMILES DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "MORELLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "585-919-6624"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Family Eyecare Inc
• Victor Farmington Volunteer Ambulance Corps Inc
• Victor Internal Medicine & Pediatrics,P.C.
• Victor Physical Therapy, LLC
• Victor Senior Living, LLC
• Victor Surgical Care PLLC
• Kimberly A Viel, BSN RN NC-BC
• Vito C. Quatela, MD, Victor Medical, PLLC
• Darlene S Vullo, M.A
• Brooke Leigh Wagner, LCSW

• General Practice Dentistry in Victor, NY
• Providers in Victor, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.