Healthcare Provider Details

I. General information

NPI: 1770494247
Provider Name (Legal Business Name): ROCHESTER FAMILY ORTHODONTICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 WESTFALL RD STE B
ROCHESTER NY
14620-4601
US

IV. Provider business mailing address

255 WESTFALL RD STE B
ROCHESTER NY
14620-4601
US

V. Phone/Fax

Practice location:
  • Phone: 585-371-6652
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MAUREEN WOOD
Title or Position: OWNER/ORTHODONTIST
Credential: DMD
Phone: 585-371-6652