| Eastern Niagara Dentistry Pllc | |
|
57 Davison Ct Ste D Lockport NY 14094-5370 | |
| (716) 433-6111 | |
| (716) 433-6029 |
| Full Name | Eastern Niagara Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 57 Davison Ct, Lockport, New York |
| Authorized Official Name and Position | David A Keller (PARTNER/OWNER) |
| Authorized Official Contact | 7164336111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Niagara Dentistry Pllc 57 Davison Ct Ste D Lockport NY 14094-5370 Ph: (716) 433-6111 | Eastern Niagara Dentistry Pllc 57 Davison Ct Ste D Lockport NY 14094-5370 Ph: (716) 433-6111 |
| NPI Number | 1225145899 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 09/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225145899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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