| Buffalo Oral Surgery, Pllc | |
|
117 Linwood Ave Buffalo NY 14209-2003 | |
| (716) 882-6333 | |
| (716) 882-0891 |
| Full Name | Buffalo Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 117 Linwood Ave, Buffalo, New York |
| Authorized Official Name and Position | Gilbert Harold Schulenberg (OWNER) |
| Authorized Official Contact | 7168826333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Oral Surgery, Pllc 117 Linwood Ave Buffalo NY 14209-2003 Ph: (716) 882-6333 | Buffalo Oral Surgery, Pllc 117 Linwood Ave Buffalo NY 14209-2003 Ph: (716) 882-6333 |
| NPI Number | 1871772053 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Medicare PECOS PAC ID | 6305025248 |
|---|---|
| Medicare Enrollment ID | O20110125000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871772053 | NPI | - | NPPES |
| 02136730 | Medicaid | PW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Gilbert H Schulenberg |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1124084389 PECOS PAC ID: 6507045135 Enrollment ID: I20110127000787 |
| Provider Name | Andrew T Bracci |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528046620 PECOS PAC ID: 3678738820 Enrollment ID: I20120713000148 |
| Provider Name | Jacob B Rifkind |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962796615 PECOS PAC ID: 6406173053 Enrollment ID: I20150319002512 |
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