SUBURBAN ORTHODONTICS (NPI# 1366617250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366617250 |
| Entity Type | Organization |
| Organization Name | SUBURBAN ORTHODONTICS |
| Practice Address |
2005 Niagara Falls Blvd Amherst NY 14228-3520 |
| Practice Telephone | 7165688044 |
| Practice Fax Number | 7166491516 |
| Mailing Telephone | 7165688044 |
| Mailing Fax Number | 7166491516 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | ROBERT BAVISOTTO (ORTHODONTIST) |
| Authorized Official Telephone | 7166495254 |
| 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 |
0321781 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01369268 | 05 |
| Street Address |
2005 NIAGARA FALLS BLVD |
| City | AMHERST |
| State | NY |
| Zip Code | 14228-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619984515 | Robert S Bavisotto | Dentist | 2005 Niagara Falls Blvd, Amherst, NY 14228-3520 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463730 | Kristen Elizabeth Brush | Physical Therapist | 2330, 2360 Sweet Home Road 1-2, Buffalo, NY 14228 | 2019-05-28 |
| 1083186597 | Denise Perry | Registered Nurse | 92 John Muer Dr., Buffalo, NY 14228 | 2018-12-21 |
| 1841789351 | Parris Antonette Skipper | Licensed Practical Nurse | 251 Travers Circle, Appt D, Amherst, NY 14228 | 2018-05-10 |
| 1760900377 | Andria Darel | Counselor | 780 Ridege Rd., Lackawanna, NY 14228 | 2017-09-03 |
| 1447786579 | Bright Smiles Orthodontics | Dentist | 2005 Niagara Falls Blvd., Amherst, NY 14228 | 2017-05-10 |
| 1679006332 | Arianna Bordonaro | Chiropractor | 2800 Sweet Home Rd Ste 1, Amherst, NY 14228 | 2017-04-09 |
| 1043763808 | Alisha Patel | Student in an Organized Health Care Education/Training Program | 1880 Sweet Home Rd Apt 132, Amherst, NY 14228 | 2016-07-28 |
| 1629467345 | Christian Michael Duquin | Chiropractor | 3950 E Robinson Rd Ste 109, Amherst, NY 14228 | 2015-01-19 |
| 1467854695 | Compassionate Hands Home & Nursing Home Care | Home Health | 224 Travers Circle Apt A, Buffalo, NY 14228 | 2014-09-18 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| Find all providers in zip 14228 | ||||
| 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 |
|---|---|---|---|---|
| 1023657681 | Orthodontics Too, Pllc | Dentist | 7 State Route 101a Unit D, Amherst, NH 03031-3132 | 2019-12-31 |
| 1700110335 | Sawsan Tabbaa | Dentist | 129 Landings Dr, Amherst, NY 14228-1488 | 2009-09-29 |
| 1235340126 | Amherst Orthodontics | Dentist | 5 Overlook Dr, Suite 6, Amherst, NH 03031-2831 | 2007-05-24 |
| 1295826634 | Laurence C. Wright, D.d.s., P.C. | Dentist | 3985 Main St, Amherst, NY 14226-3404 | 2006-09-28 |
| 1619984515 | Robert S Bavisotto | Dentist | 2005 Niagara Falls Blvd, Amherst, NY 14228-3520 | 2006-08-02 |
| 1619413721 | Brian Kurtzner | Dentist | 3476 Sheridan Dr, Amherst, NY 14226-1545 | 2017-01-12 |
| 1316227606 | Matthew Walla | Dentist | 3985 Main St, Amherst, NY 14226-3404 | 2011-08-18 |
| 1841422110 | Even Diane Shieh | Dentist | 5 Overlook Dr, Suite #6, Amherst, NH 03031-2831 | 2009-08-19 |
| 1518199934 | Deborah A Deberadinis | Dentist | 5 Overlook Dr, Suite #6, Amherst, NH 03031-2831 | 2009-08-18 |
| 1013178011 | Scott M Farley | Dentist | 3985 Main St, Amherst, NY 14226-3404 | 2008-06-23 |
| Find all providers in AMHERST | ||||
Please comment or provide details below to improve the information on SUBURBAN ORTHODONTICS.
| 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.