| Aspire Family Dental | |
|
476 Hertel Avenue Buffalo NY 14207 | |
| (716) 877-3510 | |
| (716) 877-3541 |
| Full Name | Aspire Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 476 Hertel Avenue, Buffalo, New York |
| Authorized Official Name and Position | Todd R Levine (OWNER) |
| Authorized Official Contact | 7164391877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Family Dental 476 Hertel Avenue Buffalo NY 14207 Ph: (716) 877-3510 | Aspire Family Dental 476 Hertel Avenue Buffalo NY 14207 Ph: (716) 877-3510 |
| NPI Number | 1275862088 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 09/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275862088 | NPI | - | NPPES |
| 03162109 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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