| Williamsville Family Dentistry P.c. | |
|
1630 Maple Rd Williamsville NY 14221-3706 | |
| (716) 568-2273 | |
| (716) 568-2047 |
| Full Name | Williamsville Family Dentistry P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1630 Maple Rd, Williamsville, New York |
| Authorized Official Name and Position | Kevin G Clauser (DENTIST) |
| Authorized Official Contact | 7165682273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsville Family Dentistry P.c. 1630 Maple Rd Williamsville NY 14221-3706 Ph: (716) 568-2273 | Williamsville Family Dentistry P.c. 1630 Maple Rd Williamsville NY 14221-3706 Ph: (716) 568-2273 |
| NPI Number | 1942479308 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942479308 | NPI | - | NPPES |
| 02883347 | Medicaid | NY | |
| 02783677 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052390-1 (New York) | Primary |
| 122300000X | Dentist | 053497 (New York) | Secondary |
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Domenico M Berardi, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2322 Wehrle Dr, Williamsville, NY 14221 Phone: 716-633-2327 | |
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