ORCHARD PARK DENTALCARE PLLC (NPI# 1790260982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790260982 |
| Entity Type | Organization |
| Organization Name | ORCHARD PARK DENTALCARE PLLC |
| Practice Address |
3302 Sheridan Dr Buffalo NY 14226 |
| Mailing Address |
25 Prestonwood Ln East Amherst NY 14051-1648 |
| Practice Telephone | 7162222228 |
| Mailing Telephone | 6178209291 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | DR. SHASHIDHAR RAMCHANDRAREDDY (DENTISST) |
| Authorized Official Telephone | 6178209291 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| ace dental buffalo | Doing Business As Name - Organization |
| Street Address |
3302 SHERIDAN DR |
| City | BUFFALO |
| State | NY |
| Zip Code | 14226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| 1760900344 | Katelyn A Pellegrino | Physical Therapist | 3925 Sheriden Dr, Amherst, NY 14226 | 2017-09-05 |
| Find all providers in zip 14226 | ||||
| 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.