# FAIRPORT SMILES DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CrossKeys Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417480740
- **Authorized official:** DR. VINCENT ANTHONY BADALI (PRESIDENT)
- **Authorized official phone:** (585) 223-8690

## Contact information

- **Practice address:** 110 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450-3509
- **Practice address phone:** (585) 223-8690
- **Practice address fax:** (585) 223-8938
- **Mailing address:** 110 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450-3509
- **Mailing address phone:** (585) 223-8690
- **Mailing address fax:** (585) 223-8938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2017
- **Last updated:** 04/04/2017