| Suburban Dentistry Pc | |
|
1050 Abbott Road Buffalo NY 14220 | |
| (716) 649-5254 | |
| (716) 822-0592 |
| Full Name | Suburban Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1050 Abbott Road, Buffalo, New York |
| Authorized Official Name and Position | Jason Jones (OWNER) |
| Authorized Official Contact | 7166495254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Dentistry Pc 1050 Abbott Road Buffalo NY 14220 Ph: (716) 649-5254 | Suburban Dentistry Pc 1050 Abbott Road Buffalo NY 14220 Ph: (716) 649-5254 |
| NPI Number | 1003450735 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003450735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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