Individual
MATTHEW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
625 PANORAMA TRL, BLDG 2, SUITE 230, ROCHESTER, NY 14625-2404
(585) 264-1970
Mailing address
625 PANORAMA TRL, BLDG 2, SUITE 230, ROCHESTER, NY 14625-2404
(585) 264-1970
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045285-1
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
213109
NY
Other
Enumeration date
10/24/2006
Last updated
09/11/2025
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