Dr Stephen J Illig, DDS | |
987 R C Hoag Dr, Salamanca, NY 14779-1365 | |
(716) 945-5894 | |
(716) 242-6345 |
Full Name | Dr Stephen J Illig |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 987 R C Hoag Dr, Salamanca, 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 |
---|---|---|---|
1336233477 | NPI | - | NPPES |
007016271 | Other | NY | WNYBCBS |
143435 | Other | UNITED CONCORDIA | |
4001458 | Other | NY | INDEPENDENT HEALTH |
00807727 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 030190 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen J Illig, DDS 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 | Dr Stephen J Illig, DDS 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 |
Scott D Winokur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 987 R C Hoag Dr, Lionel R John Health Center, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-945-5889 | |
J Nicholas Porcello, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Lionel R. John Health Center, 987 Rc Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-945-5889 | |
Dr. Peter C Perez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 288 Central Ave, Salamanca, NY 14779 Phone: 716-945-3686 |