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KENMORE QUALITYCARE DENTISTRY PC NPI 1902077928


NPI Information

NPI: 1902077928
Provider Name: KENMORE QUALITYCARE DENTISTRY, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
956 KENMORE AVE
BUFFALO, NY
ZIP 14216
Phone: (716) 874-7112
Get Directions

KENMORE QUALITYCARE DENTISTRY, 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. KENMORE QUALITYCARE DENTISTRY, PC NPI is 1902077928. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

956 KENMORE AVE
BUFFALO, NY
ZIP 14216-450
Phone: (716) 874-7112
Fax: (716) 874-7113

The provider's authorized official is Robert J Lacarrubba .
The authorized official title is President and has the following contact phone number (716) 297-5500.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 7/21/2022.


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 PracticeNEW YORKYes

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
1GRP529003001OTHERNEW YORKBC/BS CHILD HEALTH PLUS

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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