SUBURBAN DENTISTRY PC (NPI# 1003450735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003450735 |
| Entity Type | Organization |
| Organization Name | SUBURBAN DENTISTRY PC |
| Practice Address |
1050 Abbott Road Buffalo NY 14220 |
| Practice Telephone | 7166495254 |
| Practice Fax Number | 7168220592 |
| Mailing Telephone | 7166495254 |
| Mailing Fax Number | 7168220592 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | JASON JONES (OWNER) |
| Authorized Official Telephone | 7166495254 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1050 ABBOTT ROAD |
| City | BUFFALO |
| State | NY |
| Zip Code | 14220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912554155 | Christopher A. Grato | Technician | 134 Crystal Ave, Buffalo, NY 14220 | 2019-08-22 |
| 1942777081 | Marissa Edwards Sheehan | Student in an Organized Health Care Education/Training Program | 429 S. Legion Dr, Buffalo, NY 14220 | 2018-10-26 |
| 1235641515 | Cathleen Jo Lang | Registered Nurse | 43 Eaglewood Ave., Buffalo, NY 14220 | 2017-10-26 |
| 1659827889 | Kara Woodard | Nurse Practitioner | 565 Abbott Rd., Buffalo, NY 14220 | 2016-08-28 |
| 1902286230 | Ngoc Yen Pham | Obstetrics & Gynecology | 515 Abbott Rd Ste 302, Buffalo, NY 14220 | 2015-06-02 |
| 1396029260 | Tracy M Dargan | Registered Nurse | 789 Gilmore Avenue, North Tonawanda, NY 14220 | 2011-10-10 |
| 1447400544 | Sylvia Marie Vasconcellos | Registered Nurse | 515 Abbott Rd. / Suite 306, Buffalo Mercy Hospital, Buffalo, NY 14220 | 2008-09-25 |
| 1184755464 | Sisters of Mercy of The Americas | Speech-Language Pathologist | 625 Abbott Road, Buffalo, NY 14220 | 2007-03-08 |
| 1154480242 | Jadab K Bhattacharyya | Internal Medicine | 534 Abbott Rd, Buffalo, NY 14220 | 2006-12-06 |
| 1730294851 | Patrick Losito | Physician Assistant | 515 Abbott Rd., Suite 101, Buffalo, NY 14220 | 2006-08-20 |
| Find all providers in zip 14220 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124677463 | Michael Nicholas Danielak | Dentist | 3435 Main St., Rm 215, Buffalo, NY 14214-3099 | 2019-09-09 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1639689862 | Erin M Sweeney | Dentist | 172 Summer St Unit 503, Buffalo, NY 14222-2206 | 2017-10-02 |
| 1548795545 | Andrianette Nicole Gordon | Dentist | 4330 Maple Rd., Buffalo, NY 14226 | 2017-04-27 |
| 1144688201 | Mckinley Crossing Dental | Dentist | 4405 Milestrip Rd, Buffalo, NY 14219-2000 | 2016-02-04 |
| 1396122974 | Nathan J Chronister | Dentist | 476 Hertel Ave, Buffalo, NY 14207-2304 | 2015-05-02 |
| 1457766511 | Brett Ward | Dentist | 507 S Ash St # 103, Buffalo, MO 65622-5464 | 2014-06-27 |
| 1194135731 | Metropolitan Dental Pllc | Dentist | Brisbane Bldg, 403 Main St, Buffalo, NY 14203-2109 | 2014-05-05 |
| 1326394404 | Niagara Family Dental, P.C. | Dentist | 821 Niagara St, Buffalo, NY 14213-2420 | 2012-07-26 |
| 1275862088 | Aspire Family Dental, Pllc | Dentist | 476 Hertel Avenue, Buffalo, NY 14207 | 2009-12-08 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.