WILLIAMSVILLE DENTAL GROUP (NPI# 1689710204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689710204 |
| Entity Type | Organization |
| Organization Name | WILLIAMSVILLE DENTAL GROUP |
| Practice Address |
40 N Union Rd Suite 1 Williamsville NY 14221 |
| Practice Telephone | 7166331187 |
| Practice Fax Number | 7166334276 |
| Mailing Telephone | 7166331187 |
| Mailing Fax Number | 7166334276 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES H ELY (PRESIDENT) |
| Authorized Official Telephone | 7166331187 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
028311 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02666475 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WILLIAMSVILLE DENTAL GROUP, P.C. | 49 Hillside Parkway, Lancaster, Ny 14086 |
| Street Address |
40 N UNION RD SUITE 1 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844550 | Philip R Niswander | Ophthalmology | 40 N Union Rd, Niswander Eye Center, Williamsville, NY 14221-5339 | 2005-07-12 |
| 1215192638 | Ellen Clare Fitzgerald-farkas | Ophthalmology | 40 N Union Rd, Williamsville, NY 14221-5339 | 2008-07-24 |
| 1407042492 | James Howard Ely | Dentist | 40 N Union Rd, Williamsville, NY 14221-5339 | 2007-09-24 |
| 1164641130 | Jacquelyn M Dougherty | Optometrist | 40 N Union Rd, Williamsville, NY 14221-5339 | 2007-04-25 |
| 1205989647 | Philip R Niswander Md | Eyewear Supplier (Equipment, not the service) | 40 N Union Rd, Williamsville, NY 14221-5339 | 2007-01-19 |
| 1265454599 | Michael N Hatton | Dentist | 40 N Union Rd, Suite 2, Williamsville, NY 14221-5339 | 2006-07-24 |
| 1144249368 | Frank T Sindoni | Dentist | 40 N Union Rd, Suite 2, Williamsville, NY 14221-5339 | 2006-07-19 |
| 1144284043 | Philip R. Niswander Md | Optometrist | 40 N Union Rd, Niswander Eye Center, Williamsville, NY 14221-5339 | 2006-04-17 |
| 1801894068 | Mary Ellen Loughrey | Optometrist | 40 N Union Rd, Niswander Eye Center, Williamsville, NY 14221-5339 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477737500 | Mary Elizabeth Dunn | Dentist | 2733 Wehrle Dr Ste 300, Williamsville, NY 14221-7348 | 2007-12-26 |
| 1457548141 | Janice Valerie Roseman | Dentist | 13 Hopkins Rd, Williamsville, NY 14221-4641 | 2007-09-26 |
| 1134514243 | David Carl Mccloe | Dentist | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2015-04-06 |
| 1487091427 | Anthony J Costanzo | Dentist | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2013-05-31 |
| 1477741635 | Pediatric Dental Care, P.C. | Dentist | 13 Hopkins Rd, Williamsville, NY 14221-4641 | 2007-10-11 |
| 1760670459 | Gregory Francis George | Dentist | 13 Hopkins Rd, Williamsville, NY 14221-4641 | 2007-10-09 |
| 1407042492 | James Howard Ely | Dentist | 40 N Union Rd, Williamsville, NY 14221-5339 | 2007-09-24 |
| 1275745143 | Doreen Bussi Strzalka | Dentist | 8560 Main St, Williamsville, NY 14221-7460 | 2007-05-04 |
| 1295723278 | Paul A Weiss | Dentist | 1150 Youngs Rd, Suite 106, Williamsville, NY 14221-8053 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on WILLIAMSVILLE DENTAL GROUP.
| 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.