DR. CONSTANCE JIN WENTWORTH (NPI# 1710274071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710274071 |
| Entity Type | Individual |
| Full Name | DR. CONSTANCE JIN WENTWORTH |
| Credential | D.M.D. |
| Practice Address |
19 Limestone Dr Ste 2 Williamsville NY 14221-7091 |
| Practice Telephone | 7166756204 |
| Practice Fax Number | 7166754841 |
| Mailing Telephone | 7166756204 |
| Mailing Fax Number | 7166754841 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
056481 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3615 Seneca St Ste O, West Seneca, NY 142243444 | 7166754828 | 7166754841 |
| Street Address |
19 LIMESTONE DR STE 2 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-7091 |
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659689230 | Hesham Eltagouri | Dentist | 8201 Main St Ste 5, Williamsville, NY 14221-6046 | 2010-09-17 |
| 1154540821 | Steven M Stern | Dentist | 867 Hopkins Rd, Williamsville, NY 14221-1789 | 2007-04-24 |
| 1063547412 | Buffalo Niagara Endodontics, P.C. | Dentist | 5353 Main Street, Williamsville, NY 14221 | 2007-02-23 |
| 1164500542 | Lawrence Frank Pace | Dentist | 1613 N Forest Rd, Williamsville, NY 14221-2159 | 2006-11-01 |
| 1508242231 | Michael Francis Gengo | Dentist | 1020 Youngs Rd, Youngs Center, Suite 100, Williamsville, NY 14221-2698 | 2015-08-04 |
| 1114234598 | Frank Leo Graziano Jr. | Dentist | 8201 Main St, Suite 5, Williamsville, NY 14221-6046 | 2010-09-08 |
| 1710199682 | Sandra Anne Shostad | Dentist | 5353 Main St, Williamsville, NY 14221-5337 | 2007-05-04 |
| 1538388210 | Steven M. Stern D.d.s., P.C. | Dentist | 867 Hopkins Rd, Williamsville, NY 14221-1789 | 2007-04-24 |
| 1720118219 | Anthony J Domenico | Dentist | 5353 Main St, Williamsville, NY 14221-5337 | 2007-03-06 |
| 1760522833 | Graziano & Tagouri LLP | Dentist | 8201 Main St, Suite 5, Williamsville, NY 14221-6046 | 2007-02-07 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on DR. CONSTANCE JIN WENTWORTH.
| 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.