Smiles On the Canal Dentistry

NPI #1548822786 in Fairport, New York

Provider Information

NPI Number: 1548822786
Entity Type: Organization
Organization Name: Smiles On the Canal Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 8, 2019
Last Updated: Jul 8, 2019

Practice Location

Address: 124 FAIRPORT VILLAGE LNDG
City: Fairport
State: New York
ZIP Code: 14450-1804
Phone: (585) 223-5480

Authorized Official

Name: DAMIAN GRAYBELLE
Title: DIRECTOR OF OPERATIONS
Phone: (585) 223-5480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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