Individual
DR. EUGENE MICHAEL SIBICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6600 MAIN ST, WILLIAMSVILLE, NY 14221-5933
(716) 634-1234
Mailing address
6600 MAIN ST, WILLIAMSVILLE, NY 14221-5933
(716) 634-1234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040322-01
NY
1223G0001X
General Practice Dentistry
040322-01
NY
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040322
NEW YORK DEPARTMENT OF EDUCATION
NY
Enumeration date
05/25/2006
Last updated
02/14/2023
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