WESTERN NEW YORK DENTAL GROUP, PC (NPI# 1831262971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831262971 |
| Entity Type | Organization |
| Organization Name | WESTERN NEW YORK DENTAL GROUP, PC |
| Practice Address |
1020 Youngs Rd Williamsville NY 14221-2642 |
| Mailing Address |
125 Lawrence Bell Dr Suite 102 Williamsville NY 14221-7817 |
| Practice Telephone | 7166361600 |
| Practice Fax Number | 7166362595 |
| Mailing Telephone | 7166344679 |
| Mailing Fax Number | 7166345415 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROLAND M BERGLER (OWNER) |
| Authorized Official Telephone | 7166361600 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
028520 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255406526 | Western New York Dental Group, PC | Dentist | 800 Harlem Rd, Suite 400, W Seneca, NY 14224-1083 | 2006-11-22 |
| 1154496420 | Western New York Dental Group, PC | Dentist | 1354 Amherst St, Buffalo, NY 14216-3402 | 2006-11-22 |
| 1063587335 | Western New York Dental Group, PC | Dentist | 3950 E Robinson Rd, Amherst, NY 14228-2041 | 2006-11-22 |
| 1437224706 | Western New York Dental Group, PC | Dentist | 9 N Main St, Holland, NY 14080-9509 | 2006-11-22 |
| 1417962218 | Western New York Dental Group, PC | Dentist | 5907 S Park Ave, Hamburg, NY 14075-7421 | 2006-07-30 |
| Street Address |
1020 YOUNGS RD |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568432656 | Peter L Elkin | Internal Medicine | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2006-01-23 |
| 1548748411 | Naghma Nikhat Mustafa | Nurse Practitioner | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2018-08-02 |
| 1508242231 | Michael Francis Gengo | Dentist | 1020 Youngs Rd, Youngs Center, Suite 100, Williamsville, NY 14221-2698 | 2015-08-04 |
| 1881013167 | Robert Borowski | Internal Medicine | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2014-04-15 |
| 1487091427 | Anthony J Costanzo | Dentist | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2013-05-31 |
| 1922368737 | Aasha Harish | Allergy & Immunology | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2012-05-26 |
| 1427315415 | Kenyani Shareen Davis | Internal Medicine | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2012-04-16 |
| 1487897062 | Jennifer Katherine Lang | Internal Medicine | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2009-04-13 |
| 1356583124 | Sean Patrick Brady | Internal Medicine | 1020 Youngs Rd, Williamsville, NY 14221 | 2009-03-25 |
| 1164568374 | Karin Andrea Provost | Internal Medicine | 1020 Youngs Rd, Williamsville, NY 14221-2698 | 2007-01-29 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1598262842 | Mayada Hassan | Dentist | 4192 Coventry Green Cir, Williamsville, NY 14221-7235 | 2018-04-11 |
| 1336348895 | Michael J Brown | Dentist | 8460 Main St, Williamsville, NY 14221-6106 | 2007-07-15 |
| 1770787160 | Bernard James Kolber | Dentist | 5845 Main St, Williamsville, NY 14221-5709 | 2007-06-12 |
| 1912125170 | Vladlen Kivovich | Dentist | 7500 Transit Rd, Williamsville, NY 14221 | 2007-04-23 |
| 1366561250 | Brian T Zunner | Dentist | 390 Evans St, Williamsville, NY 14221-5669 | 2007-03-29 |
| 1245373943 | Douglas Reid Hamill | Dentist | 31 Maple Rd., Williamsville, NY 14221 | 2007-02-14 |
| 1972655801 | Steven Nickolas Cappellucci | Dentist | 5136 Sheridan Drive, Williamsville, NY 14221 | 2007-01-18 |
| 1669522702 | Stewart M Fenigstein | Dentist | 5214 Main Street, Suite 101, Williamsville, NY 14221 | 2007-01-11 |
| 1891843033 | Timothy James Seel | Dentist | 6500 Main St, Suite 2, Williamsville, NY 14221-5854 | 2007-01-06 |
| 1649327420 | Hemant H. Shelawala | Dentist | 8805 Sheridan Dr, Williamsville, NY 14221-6340 | 2007-01-04 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.