| Smiles On The Canal Dentistry | |
|
124 Fairport Village Lndg Fairport NY 14450-1804 | |
| (585) 223-5480 | |
| Not Available |
| Full Name | Smiles On The Canal Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 Fairport Village Lndg, Fairport, New York |
| Authorized Official Name and Position | Damian Graybelle (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5852235480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On The Canal Dentistry 124 Fairport Village Lndg Fairport NY 14450-1804 Ph: (585) 223-5480 | Smiles On The Canal Dentistry 124 Fairport Village Lndg Fairport NY 14450-1804 Ph: (585) 223-5480 |
| NPI Number | 1548822786 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548822786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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› Verified 8 days ago
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