Small Smiles Dentistry of Rochester, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMALL SMILES DENTISTRY OF ROCHESTER, LLC

Practice address

728 Ridge Rd E
Rochester, NY 14621-1719

Phone

(585) 663-1624

NPI assigned

Aug 6, 2006

Last updated

May 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Trudy Williams

Title

Director, Licensing & Credentialing

Phone

(615) 750-0342

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwight Brown, DDS

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1053646430
  NPD (past)
• Lawana Fuquay

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1659461747
  NPD (past)
• Ismatu A Kamara, DDS

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1023152329
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1912916081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211719",
            "telephone_number": "585-663-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL SMILES DENTISTRY OF ROCHESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "615-750-0342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "70491SS",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02617178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Sloyer
• Michelle D Slymon, NP
• Theresa A Slyngstad, OT
• Tyler John Slyngstad, M.D.
• Molly Elizabeth Smales, LMSW
• Small to Tall Dentistry and Orthodontics Chili
• Small to Tall, Dentistry for Children, PLLC
• Tiayana Small, LPN
• William Small
• McKenzie Smallcomb

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, 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 17, 2010; 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.