DR. MYRON R BUCHOLTZ D.M.D. NPI 1720077183

NPI Information

  • NPI: 1720077183
  • Provider Name: DR. MYRON R BUCHOLTZ, D.M.D.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 463 FULTON ST
    WAVERLY, NY
    ZIP 14892
  • Phone: (607) 565-4374

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NPI Details

DR. Myron R Bucholtz, D.M.D. is a general practice dentist in Waverly, 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. DR. Myron R Bucholtz, D.M.D. NPI is 1720077183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

463 FULTON ST
WAVERLY, NY
ZIP 14892-312
Phone: (607) 565-4374
Fax: (607) 565-7438

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice024380NEW 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: 11/21/2025

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