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Organization
ROBERT J LACARRUBBA DDS PC
Active
Organization
ROBERT J LACARRUBBA DDS PC
Active
Other names
Dr Bob's Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SENIOR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4233 MAPLE RD, AMHERST, NY 14226
(716) 631-2728
(716) 631-5824
Mailing address
4233 MAPLE RD, AMHERST, NY 14226
(716) 631-2728
(716) 631-5824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012598
FIDELIS
NY
01
—
007555181
BCBS OF WNY
NY
05
—
01751248
—
NY
01
—
4091831
INDEPENDANT HEALTH ASSOC
NY
01
—
A1941
HEALTH PLEX
NY
Enumeration date
02/26/2008
Last updated
05/08/2025
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