WESTERN NEW YORK DENTAL GROUP, PC (NPI# 1417962218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417962218 |
| Entity Type | Organization |
| Organization Name | WESTERN NEW YORK DENTAL GROUP, PC |
| Practice Address |
5907 S Park Ave Hamburg NY 14075-7421 |
| Mailing Address |
125 Lawrence Bell Dr Suite 102 Williamsville NY 14221-7817 |
| Practice Telephone | 7166463912 |
| Practice Fax Number | 7166480311 |
| Mailing Telephone | 7166344679 |
| Mailing Fax Number | 7166345415 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD J. LYNCH (PRESIDENT) |
| Authorized Official Telephone | 7166463912 |
| 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 |
037839 | 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 |
| 1154496420 | Western New York Dental Group, PC | Dentist | 1354 Amherst St, Buffalo, NY 14216-3402 | 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 |
| Street Address |
5907 S PARK AVE |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-7421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417978750 | William J Crossetta IIi | Dentist | 5907 S Park Ave, Hamburg, NY 14075-7421 | 2006-07-22 |
| 1487677019 | Richard J. Lynch | Dentist | 5907 S Park Ave, Hamburg, NY 14075-7421 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
| Find all providers in zip 14075 | ||||
| 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 |
|---|---|---|---|---|
| 1518321777 | Elizabeth Michaels | Dentist | 60 Huntington Ct., Hamburg, NY 14075-5243 | 2016-04-13 |
| 1013159557 | Kara Elizabeth Morgan | Dentist | 303 W. Lincoln Street, Hamburg, AR 71646 | 2009-03-30 |
| 1376709931 | Joseph T Deluca | Dentist | 17 Long Ave Ste 101, Hamburg, NY 14075-6200 | 2008-08-04 |
| 1447425707 | Charles S. Travagliato, Dds, Pllc | Dentist | 4741 Camp Road, Hamburg, NY 14075 | 2008-04-28 |
| 1568673457 | Steven R Fink | Dentist | 225 Route 23, Hamburg, NJ 07419 | 2007-05-24 |
| 1568675023 | Ricky M Massullo | Dentist | 132 S 4th St, Hamburg, PA 19526 | 2007-05-08 |
| 1336272194 | Jeffrey B Tauber | Dentist | 29 State Rt 23 N, Hamburg, NJ 07419-1419 | 2007-03-13 |
| 1427195551 | Ronald Joseph Forte | Dentist | 225 State Rt 23 S, Hamburg, NJ 07419 | 2007-01-30 |
| 1871647206 | Stanley John Scott | Dentist | 5020 Lake Shore Rd, Hamburg, NY 14075-5719 | 2007-01-23 |
| 1679654636 | David T Burnell | Dentist | 7785 M-36, Hamburg, MI 48139-0569 | 2006-10-18 |
| Find all providers in HAMBURG | ||||
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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.