RICHARD ETENGOFF DDS PC (NPI# 1194911693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194911693 |
| Entity Type | Organization |
| Organization Name | RICHARD ETENGOFF DDS PC |
| Practice Address |
1241 Colvin Ave Buffalo NY 14223 |
| Practice Telephone | 7168775941 |
| Practice Fax Number | 7168778409 |
| Mailing Telephone | 7168775941 |
| Mailing Fax Number | 7168778409 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DR. RICHARD ALAN ETENGOFF (PRESIDENT ORTHODONTIST) |
| Authorized Official Telephone | 7168775941 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0320981 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00695001 | 05 |
| Street Address |
1241 COLVIN AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841486412 | Richard Alan Etengoff | Dentist | 1241 Colvin Ave, Buffalo, NY 14223 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769858 | Raymond Shu | Physical Therapist | 2075 Sheridan Drive, Kenmore, NY 14223 | 2017-09-15 |
| 1184140808 | Star6 Transportation Inc | Taxi | 1745 Colvin Blvd, Tonawanda, NY 14223 | 2017-08-15 |
| 1558768556 | Marci Gawronski | Developmental Therapist | 174 Athens Blvd., Buffalo, NY 14223 | 2014-11-20 |
| 1699013946 | Medfirst Urgent Care | Emergency Medicine | 1751 Sheridan Dr, Tonawanda, NY 14223 | 2013-01-22 |
| 1528302007 | Carol A Giammara | Occupational Therapy Assistant | 696mooe Ave, Buffalo, NY 14223 | 2012-11-21 |
| 1477839074 | Paula Delvalle | Registered Nurse | 250 Athens Blvd., Buffalo, NY 14223 | 2011-10-26 |
| 1366728255 | Peggy U. Meyer | Registered Nurse | 845 Kenmore Avenue, Buffalo, NY 14223 | 2011-10-24 |
| 1457661100 | Diane A Colburn | Nutritionist | 226 Moore Ave, Buffalo, NY 14223 | 2010-10-15 |
| 1093941643 | Margaret M Shaughnessy | Physical Therapist | 2005 Sheridan Drive, Supplementa Health Care, Buffalo, NY 14223 | 2009-06-09 |
| 1154556207 | Frederick Lacaste Tabliago | Physical Therapist | 259 Grimsby Rd, Tonawanda, NY 14223 | 2009-05-19 |
| Find all providers in zip 14223 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154884542 | Kevin Kurtzner | Dentist | 70 Richmond Ave, Buffalo, NY 14222-2115 | 2019-04-11 |
| 1891282851 | Tingxi Wu | Dentist | 136 Squire Hall, Buffalo, NY 14214-8006 | 2018-04-16 |
| 1396196713 | Pramod Philip | Dentist | 150 Squire Hall, Buffalo, NY 14214-8006 | 2016-06-27 |
| 1982088209 | Mona Bajestan | Dentist | 140 Squire Hall, Buffalo, NY 14214-8006 | 2015-07-16 |
| 1992000798 | Jason Pedro Jones | Dentist | 62 Davidson Ave, Buffalo, NY 14215-2306 | 2011-01-26 |
| 1811135098 | James Francis Gleason | Dentist | 916 Delaware Ave, Apt 4f, Buffalo, NY 14209-1837 | 2009-01-27 |
| 1356400568 | Richard Mario Costantini | Dentist | 1050 Abbott Rd, Buffalo, NY 14220-2400 | 2006-12-06 |
| 1700844917 | Kevin Joseph Hanley | Dentist | 959 Kenmore Ave, Buffalo, NY 14223-3160 | 2006-05-04 |
| 1760008221 | Mihai Urichianu | Dentist | 3435 Main St, Buffalo, NY 14214-3001 | 2020-06-22 |
| 1114415056 | Neelab Anwar | Dentist | 1800 Maple Rd, Buffalo, NY 14221-2749 | 2018-04-26 |
| 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.