William J Martell

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048927-1 Issued in NY

Legal business name

WILLIAM J MARTELL

Practice address

8403 Rochester Rd
Gasport, NY 14067-9211

Phone

(716) 772-5590

Fax

(716) 772-5599

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William John Martell, D.D.S.

Title

Owner, General Dentist

Phone

(716) 772-5590

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Fritton

  • Counselor
  • Getzville, NY
  • NPI 1013490002
  NPD (past)
• Rajeev N Revankar, DDS

  • Dentist
  • Gasport, NY
  • NPI 1700951795
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1144453952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 ROCHESTER RD",
            "city": "GASPORT",
            "state": "NY",
            "postal_code": "140679211",
            "telephone_number": "716-772-5590",
            "fax_number": "716-772-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 ROCHESTER RD",
            "city": "GASPORT",
            "state": "NY",
            "postal_code": "140679211",
            "telephone_number": "716-772-5590",
            "fax_number": "716-772-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J MARTELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER, GENERAL DENTIST",
        "authorized_official_telephone_number": "716-772-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stahl, PHARM. D
• Tbi Services, LLC
• Tri Town Ambulance Service Inc
• Village Park Healthcare Center, Inc.
• Cchristine Velie Wilcox, LLPN
• Amy Susan Wolter

• General Practice Dentistry in Gasport, NY
• Providers in Gasport, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.