# HENNIGAR & HENNIGAR DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Family Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720747272
- **Authorized official:** DR. WILLIAM GRANT HENNIGAR JR. DMD (PRESIDENT)
- **Authorized official phone:** (716) 773-1990

## Contact information

- **Practice address:** 2025 WHITEHAVEN RD, GRAND ISLAND, NY 14072-1895
- **Practice address phone:** (716) 773-1990
- **Practice address fax:** (716) 773-1990
- **Mailing address:** PO BOX 574, GRAND ISLAND, NY 14072-0574
- **Mailing address phone:** (716) 773-1990
- **Mailing address fax:** (716) 773-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 08/24/2022