| Aspire Family Dental | |
|
484 Ontario Street Buffalo NY 14207 | |
| (716) 873-0681 | |
| (716) 995-2956 |
| Full Name | Aspire Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 484 Ontario Street, Buffalo, New York |
| Authorized Official Name and Position | Todd R Levine (OWNER / SOLE MEMBER) |
| Authorized Official Contact | 7164391877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Family Dental 484 Ontario Street Buffalo NY 14207 Ph: (716) 873-0681 | Aspire Family Dental 484 Ontario Street Buffalo NY 14207 Ph: (716) 873-0681 |
| NPI Number | 1790920478 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790920478 | NPI | - | NPPES |
| 03162109 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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