Organization
WILLIAMSVILLE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H ELY DDS (PRESIDENT)
(716) 633-1187
Entity
Organization
Contact information
Practice address
40 N UNION RD, SUITE 1, WILLIAMSVILLE, NY 14221
(716) 633-1187
(716) 633-4276
Mailing address
40 N UNION RD, SUITE 1, WILLIAMSVILLE, NY 14221
(716) 633-1187
(716) 633-4276
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
028311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02666475
—
NY
Enumeration date
01/30/2007
Last updated
08/22/2020
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