Organization
ELMWOOD VILLAGE DENTAL PC
Active
Other names
DR. BOB'S DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DAMICO (CREDENTIALING LIAISON)
(716) 646-9423
Entity
Organization
Contact information
Practice address
892 ELMWOOD AVE, BUFFALO, NY 14222-1494
(716) 332-0460
(716) 881-0449
Mailing address
2707 SHERIDAN DR, TONAWANDA, NY 14150-9466
(716) 646-9423
(716) 557-7225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124581251
INDIVIDUAL NPI
NY
01
—
1154781326
INDIVIDUAL NPI
NY
01
—
1235378803
INDIVIDUAL NPI
NY
01
—
1295767598
INDIVIDUAL NPI
NY
01
—
1356918080
INDIVIDUAL NPI
NY
01
—
1417334293
INDIVIDUAL NPI
NY
01
—
1447338686
INDIVIDUAL NPI
NY
01
—
1467915165
INDIVIDUAL NPI
NY
01
—
1720471063
INDIVIDUAL NPI
NY
01
—
1831727882
INDIVIDUAL NPI
NY
01
—
1942677539
INDIVIDUAL NPI
NY
Enumeration date
01/03/2022
Last updated
01/03/2022
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