Organization
HENNIGAR & HENNIGAR DMD, PC
Active
Other names
American Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GRANT HENNIGAR JR. DMD (PRESIDENT)
(716) 773-1990
Entity
Organization
Contact information
Practice address
2025 WHITEHAVEN RD, GRAND ISLAND, NY 14072-1895
(716) 773-1990
(716) 773-1990
Mailing address
PO BOX 574, GRAND ISLAND, NY 14072-0574
(716) 773-1990
(716) 773-2280
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
08/24/2022
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