Niagara Family Dental, P.c. | |
821 Niagara St Buffalo NY 14213-2420 | |
(716) 883-3664 | |
(716) 883-0202 |
Full Name | Niagara Family Dental, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 821 Niagara St, Buffalo, New York |
Authorized Official Name and Position | William Bauer (OWNER) |
Authorized Official Contact | 7168833664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Niagara Family Dental, P.c. 821 Niagara St Buffalo NY 14213-2420 Ph: (716) 883-3664 | Niagara Family Dental, P.c. 821 Niagara St Buffalo NY 14213-2420 Ph: (716) 883-3664 |
NPI Number | 1326394404 |
---|---|
Provider Enumeration Date | 07/26/2012 |
Last Update Date | 07/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326394404 | NPI | - | NPPES |
01388852 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 044496 (New York) | Primary |
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