WESTERN NEW YORK DENTAL GROUP, PC (NPI# 1154496420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154496420 |
| Entity Type | Organization |
| Organization Name | WESTERN NEW YORK DENTAL GROUP, PC |
| Practice Address |
1354 Amherst St Buffalo NY 14216-3402 |
| Mailing Address |
125 Lawrence Bell Dr Suite 102 Williamsville NY 14221-7817 |
| Practice Telephone | 7168362555 |
| Practice Fax Number | 7168362585 |
| Mailing Telephone | 7166344679 |
| Mailing Fax Number | 7166345415 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEVEN T. BRAUNSTEIN (OWNER) |
| Authorized Official Telephone | 7168362555 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
032062 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255406526 | Western New York Dental Group, PC | Dentist | 800 Harlem Rd, Suite 400, W Seneca, NY 14224-1083 | 2006-11-22 |
| 1063587335 | Western New York Dental Group, PC | Dentist | 3950 E Robinson Rd, Amherst, NY 14228-2041 | 2006-11-22 |
| 1437224706 | Western New York Dental Group, PC | Dentist | 9 N Main St, Holland, NY 14080-9509 | 2006-11-22 |
| 1831262971 | Western New York Dental Group, PC | Dentist | 1020 Youngs Rd, Williamsville, NY 14221-2642 | 2006-11-16 |
| 1417962218 | Western New York Dental Group, PC | Dentist | 5907 S Park Ave, Hamburg, NY 14075-7421 | 2006-07-30 |
| Street Address |
1354 AMHERST ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14216-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518973965 | Elizabeth M Polinski May | Dentist | 1354 Amherst St, Buffalo, NY 14216-3402 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752054 | Melanie Ivette Gonzalez | Occupational Therapist | 81 Rachel Vincent Way, Buffalo, NY 14216 | 2018-12-27 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1174823298 | Kostace Leslie Kyser | Dental Hygienist | 78 Commonwealth, Buffalo, NY 14216 | 2010-10-22 |
| 1205150737 | Barbara Jane Madison | Pharmacist | 1388 Hertel Ave, Buffalo, NY 14216 | 2010-03-26 |
| 1487894317 | Melissa Ryan Trillo | Speech-Language Pathologist | 780 Parkside Ave, Buffalo, NY 14216 | 2009-03-05 |
| 1003033010 | Dan W Rajca | Pharmacist | 1001 Hertel Avenue, Buffalo, NY 14216 | 2007-04-19 |
| 1629294806 | Nikita Chandrakant Dave | Physical Medicine & Rehabilitation | 699 Hertel Ave., Industrial Medicine Office, Buffalo, NY 14216 | 2007-04-17 |
| 1437260692 | Ruth Theresa Black | Social Worker | 29 Tennyson Ave, Buffalo, NY 14216 | 2006-08-31 |
| 1033229604 | Promed Inc | Durable Medical Equipment & Medical Supplies | 350 Hinman Ave, Buffalo, NY 14216 | 2006-08-30 |
| 1457361719 | Sylvia Marzullo | Physical Therapist | 2625 Delaware Ave, Buffalo, NY 14216 | 2006-08-09 |
| Find all providers in zip 14216 | ||||
| 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.