# NIAGARA DENTAL IMPLANT & ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215360441
- **Authorized official:** SANIL NIGALYE DDS, MD (OWNER)
- **Authorized official phone:** (716) 282-0285

## Contact information

- **Practice address:** 9650 MAIN ST, CLARENCE, NY 14031-2004
- **Practice address phone:** (716) 759-0707
- **Practice address fax:** (716) 759-0709
- **Mailing address:** 9650 MAIN ST, CLARENCE, NY 14031-2004
- **Mailing address phone:** (716) 759-0707
- **Mailing address fax:** (716) 759-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 049563 | NY | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 08/12/2013