Dr Fred Rodems, DDS | |
1947 Ridge Rd, West Seneca, NY 14224-3339 | |
(716) 675-9777 | |
Not Available |
Full Name | Dr Fred Rodems |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1947 Ridge Rd, West Seneca, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497799647 | NPI | - | NPPES |
00832155 | Medicaid | NY | |
00020919401 | Other | NY | UNIVERA HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 36553 (New York) | Primary |
Entity Name | Erie County Medical Center Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
Mailing Address | Practice Location Address |
---|---|
Dr Fred Rodems, DDS 22 S Buffalo St, Springville, NY 14141-1239 Ph: (716) 592-9269 | Dr Fred Rodems, DDS 1947 Ridge Rd, West Seneca, NY 14224-3339 Ph: (716) 675-9777 |
Dr. Nebridio Mario Dinardo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1947 Ridge Rd, West Seneca, NY 14224 Phone: 716-675-9777 Fax: 716-675-9645 | |
Dr. Michael D Ehlers, DDS Dentist Medicare: Medicare Enrolled Practice Location: 800 Harlem Rd, Suite 400, West Seneca, NY 14224 Phone: 716-824-5857 Fax: 716-824-5890 | |
Dr. James L Tedesco, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1643 Orchard Park Rd, West Seneca, NY 14224 Phone: 716-675-3900 Fax: 716-675-2477 | |
Edward A Dwyer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4111 Seneca Street, West Seneca, NY 14224 Phone: 716-674-5950 Fax: 716-674-5950 | |
Dr. Sanford Harris Eisen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2880 Seneca St, West Seneca, NY 14224 Phone: 716-822-5200 | |
Dr. Daniel L Mazur, Dentist Medicare: Not Enrolled in Medicare Practice Location: 490 Center Rd, West Seneca, NY 14224 Phone: 716-675-0707 | |
Dr. Kevin Scott Manzella, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4306 Seneca St, West Seneca, NY 14224 Phone: 716-337-5066 Fax: 716-677-5413 |