| Niagara Qualitycare Dentistry, Pc | |
|
8875 Porter Rd Suite 1 Niagara Falls NY 14304-1694 | |
| (716) 297-5500 | |
| (716) 297-5559 |
| Full Name | Niagara Qualitycare Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 8875 Porter Rd, Niagara Falls, New York |
| Authorized Official Name and Position | Robert J. Lacarrubba (PRESIDENT) |
| Authorized Official Contact | 7162975500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niagara Qualitycare Dentistry, Pc 8875 Porter Rd Suite 1 Niagara Falls NY 14304-1694 Ph: (716) 297-5500 | Niagara Qualitycare Dentistry, Pc 8875 Porter Rd Suite 1 Niagara Falls NY 14304-1694 Ph: (716) 297-5500 |
| NPI Number | 1316118334 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316118334 | NPI | - | NPPES |
| GG332FHP2 | Other | NY | UNIVERA HEALTHPLEX |
| GRP705113002 | Other | NY | BC/BS CHILD HEALTH PLUS |
| 02824519 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (New York) | Primary |
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