| 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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