Healthcare Provider Details

I. General information

NPI: 1174458079
Provider Name (Legal Business Name): SMILES BY DANIELLE RIVERA DOI DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2254 PENFIELD RD
PENFIELD NY
14526-1945
US

IV. Provider business mailing address

2254 PENFIELD RD
PENFIELD NY
14526-1945
US

V. Phone/Fax

Practice location:
  • Phone: 585-377-1320
  • Fax: 585-377-1322
Mailing address:
  • Phone: 585-377-1320
  • Fax: 585-377-1322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE RIVERA DOI
Title or Position: OWNER
Credential: DDS
Phone: 585-377-1320