| Village Dental Acquisition, Pllc | |
|
5132 Sheridan Dr Williamsville NY 14221-4623 | |
| (716) 632-2545 | |
| Not Available |
| Full Name | Village Dental Acquisition, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5132 Sheridan Dr, Williamsville, New York |
| Authorized Official Name and Position | Ryan B Goldstein (OWNER) |
| Authorized Official Contact | 7166322545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental Acquisition, Pllc 5132 Sheridan Dr Williamsville NY 14221-4623 Ph: (716) 632-2545 | Village Dental Acquisition, Pllc 5132 Sheridan Dr Williamsville NY 14221-4623 Ph: (716) 632-2545 |
| NPI Number | 1013211226 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013211226 | NPI | - | NPPES |
| 1235369166 | Other | NY | DDS |
| 1750512679 | Other | NY | DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0494591 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 053977 (New York) | Secondary |
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