UNIVERSITY DENTAL PRACTICE SERVICES, INC (NPI# 1669563532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669563532 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY DENTAL PRACTICE SERVICES, INC |
| Practice Address |
114 Squire Hall Buffalo NY 14214-8006 |
| Practice Telephone | 7168292336 |
| Mailing Telephone | 7168292336 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES M HARRIS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7168292336 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
114 SQUIRE HALL |
| City | BUFFALO |
| State | NY |
| Zip Code | 14214-8006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073174074 | Bolbo Jung | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214-8006 | 2019-06-21 |
| 1063070233 | Ayah Koleilat I | Dentist | 114 Squire Hall, Buffalo, NY 14214 | 2019-06-03 |
| 1144714197 | Jennifer Branch | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214-8006 | 2018-06-21 |
| 1801389689 | Carl E Fusco-gessick | Dentist | 114 Squire Hall, Buffalo, NY 14214-8006 | 2018-06-07 |
| 1659801496 | Hai Ngoc Huynh | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214-8006 | 2017-06-14 |
| 1841728482 | Carly Jessica Greene | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214 | 2017-05-26 |
| 1407389869 | Robert Cox | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214-8006 | 2017-04-04 |
| 1548616204 | Nicole Ostro | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214 | 2016-05-11 |
| 1518348804 | Dane Hendry | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214-8006 | 2015-06-12 |
| 1003294117 | Kyle Drew Shaw | Student in an Organized Health Care Education/Training Program | 114 Squire Hall, Buffalo, NY 14214-8006 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1235690553 | Iqra Qamar | Student in an Organized Health Care Education/Training Program | 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 | 2019-03-28 |
| 1477034676 | April Forsaith Villacrusis | Specialist/Technologist | 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 | 2018-08-24 |
| 1437656675 | Anum Nida | Student in an Organized Health Care Education/Training Program | Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 | 2018-04-12 |
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1043738446 | Alexander Paul Peters | Physical Therapist | 53 Robie St, Apt 3, Buffalo, NY 14214 | 2017-09-06 |
| Find all providers in zip 14214 | ||||
| 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.