Individual
RICHARD OHRBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, DDS
Contact information
Practice address
3435 MAIN ST, 355 SQUIRE HALL, BUFFALO, NY 14214-3001
(716) 829-3590
(716) 829-3554
Mailing address
3435 MAIN ST, 355 SQUIRE HALL, BUFFALO, NY 14214-3001
(716) 829-3590
(716) 829-3554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
013564-1
NY
122300000X
Dentist
045850-1
NY
1223X2210X
Orofacial Pain Dentistry
Primary
45850-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000525127006
BLUE CROSS-COMMUNITY BLUE
NY
01
—
000525127007
BLUE CROSS
NY
01
—
4001468
IHA
NY
Enumeration date
01/16/2007
Last updated
10/09/2019
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