Grider Dental Services, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

39448 Issued in NY

Legal business name

GRIDER DENTAL SERVICES, PLLC

Practice address

462 Grider St
Buffalo, NY 14215-3021

Phone

(716) 898-3351

Fax

(716) 898-5729

NPI assigned

Sep 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Catherine M. Gogan, DDS

Title

Owner/Member

Phone

(716) 898-3351

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1023204666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3351",
            "fax_number": "716-898-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3351",
            "fax_number": "716-898-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIDER DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "GOGAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "716-898-3351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "39448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De'Shantel Grey, LPN
• Debora M Grey, L.M.T.
• Jason Michael Grey, C.M.P.
• Leslie Renee Grey
• Nicole Lynn Grichen
• Andrew Marshall Grier, 13108
• Alexander F Grierson, MS, LMHC, CASAC
• Carol Elizabeth Griesmann, LCSW
• Rachel Griffey
• Alexandra Lynn Griffin

• Dentist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.