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ELMWOOD VILLAGE DENTAL PC NPI 1659032639


NPI Information

NPI: 1659032639
Provider Name: ELMWOOD VILLAGE DENTAL PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
892 ELMWOOD AVE
BUFFALO, NY
ZIP 14222
Phone: (716) 332-0460
Get Directions

ELMWOOD VILLAGE DENTAL 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. ELMWOOD VILLAGE DENTAL PC NPI is 1659032639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

892 ELMWOOD AVE
BUFFALO, NY
ZIP 14222-494
Phone: (716) 332-0460
Fax: (716) 881-0449

The provider's authorized official is Deborah Damico .
The authorized official title is Credentialing Liaison and has the following contact phone number (716) 646-9423.

The enumeration date for this NPI number is 1/3/2022 and was last updated on 1/3/2022.


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 PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11124581251OTHERNEW YORKINDIVIDUAL NPI
21467915165OTHERNEW YORKINDIVIDUAL NPI
31942677539OTHERNEW YORKINDIVIDUAL NPI
41235378803OTHERNEW YORKINDIVIDUAL NPI
51447338686OTHERNEW YORKINDIVIDUAL NPI
61356918080OTHERNEW YORKINDIVIDUAL NPI
71295767598OTHERNEW YORKINDIVIDUAL NPI
81831727882OTHERNEW YORKINDIVIDUAL NPI
91720471063OTHERNEW YORKINDIVIDUAL NPI
101154781326OTHERNEW YORKINDIVIDUAL NPI
111417334293OTHERNEW YORKINDIVIDUAL NPI

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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