ELLYCE CLONAN (NPI# 1619461399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619461399 |
| Entity Type | Individual |
| Full Name | ELLYCE CLONAN |
| Credential | DDS |
| Practice Address |
155 Lawn Ave Buffalo NY 14207-1816 |
| Practice Telephone | 7168752904 |
| Practice Fax Number | 7168756717 |
| Mailing Telephone | 7168752904 |
| Mailing Fax Number | 7168756717 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
060727 | NY | Dental Providers |
| Street Address |
155 LAWN AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14207-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012853 | Mary A Rykert-wolf | Family Medicine | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2005-06-09 |
| 1093340465 | Anna Marszalkowski | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2020-03-06 |
| 1821629510 | Joseph Mathis Quackenbush | Physician Assistant | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2020-01-31 |
| 1669026365 | Kerisa Lynne Muffoletto | Dental Hygienist | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-31 |
| 1073166815 | Laura Myers | Social Worker | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-22 |
| 1699328690 | Jessica Mae Matott | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-18 |
| 1780246496 | Jennifer Kaye Buyea | Family Medicine | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-07-02 |
| 1104388313 | Clare Malachowski | Social Worker | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-04-05 |
| 1396203584 | Luanne Patterson | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-03-06 |
| 1245704352 | Madeline Cecelia Mcmorrow | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981595 | Shannon Nicole Johns | Doula | 191 Rebecca Park, Buffalo, NY 14207 | 2018-11-14 |
| 1225567654 | Sky Blue Transportation | Taxi | 276 Esser Avenue, Buffalo, NY 14207 | 2017-06-08 |
| 1497171706 | Armida Orozco | Pathology | 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 | 2014-03-11 |
| 1508208828 | Kyla Rae Marte | Obstetrics & Gynecology | 155 Lawn Ave Ste 100, Buffalo, NY 14207 | 2013-07-28 |
| 1407107121 | Britney Sade Caldwell | Licensed Practical Nurse | 84 Chadduck Ave, Buffalo, NY 14207 | 2012-09-20 |
| 1275862088 | Aspire Family Dental, Pllc | Dentist | 476 Hertel Avenue, Buffalo, NY 14207 | 2009-12-08 |
| 1982834503 | Rebecca Lynn Blenski | Pharmacist | 801 Tonawanda Street, Buffalo, NY 14207 | 2009-07-16 |
| 1790920478 | Aspire Family Dental, Pllc | Dentist | 484 Ontario Street, Buffalo, NY 14207 | 2008-12-09 |
| 1447417746 | Michele Marie Taschetta | Licensed Practical Nurse | 79 Eckhert St, Buffalo, NY 14207 | 2008-05-22 |
| 1184831844 | Anacleto Jr Apostol Mangaser | Preventive Medicine | 1 Sheridan Drive, Dupont Yerkes Medical Dept, Buffalo, NY 14207 | 2007-05-16 |
| Find all providers in zip 14207 | ||||
| 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.