# MICHAEL S MCCORMICK DMD LLC

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

## Provider details

- **NPI number:** 1427413194
- **Authorized official:** DR. MICHAEL SEAN MCCORMICK D.M.D. (OWNER/DENTIST)
- **Authorized official phone:** (716) 652-1140

## Contact information

- **Practice address:** 168 QUAKER RD, EAST AURORA, NY 14052-2101
- **Practice address phone:** (716) 652-1140
- **Practice address fax:** (716) 655-4182
- **Mailing address:** 168 QUAKER RD, EAST AURORA, NY 14052-2101
- **Mailing address phone:** (716) 652-1140
- **Mailing address fax:** (716) 655-4182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 047306 | NY | Yes |

## Other

- **Enumeration date:** 12/23/2015
- **Last updated:** 12/23/2015
