Organization
HANNONPIAZZADDSPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES HANNON DDS (DENTIST/PARTNER)
(716) 874-9981
Entity
Organization
Contact information
Practice address
39 DELAWARE RD, KENMORE, NY 14217-2742
(716) 874-9981
(716) 873-5839
Mailing address
39 DELAWARE RD, KENMORE, NY 14217-2742
(716) 874-9981
(716) 873-5839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02259061
—
NY
Enumeration date
07/01/2010
Last updated
07/01/2010
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