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WESTERN NEW YORK DENTAL GROUPPC NPI 1104999283


NPI Information

NPI: 1104999283
Provider Name: WESTERN NEW YORK DENTAL GROUP,PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 33D2015017

Address:
107 DELAWARE AVE
MEZZANINE LEVEL, STATLER TOWERS
BUFFALO, NY
ZIP 14202
Phone: (716) 854-5543
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WESTERN NEW YORK DENTAL GROUP,PC is a general practice dentist in Buffalo, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WESTERN NEW YORK DENTAL GROUP,PC NPI is 1104999283. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

107 DELAWARE AVE
MEZZANINE LEVEL, STATLER TOWERS
BUFFALO, NY
ZIP 14202-810
Phone: (716) 854-5543
Fax: (716) 854-5525

The provider's authorized official is Robert A. Gianadda .
The authorized official title is Owner and has the following contact phone number (716) 854-5543.

The CLIA number assigned to this NPI record is 33D2015017 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice028528NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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