Niagara Dental Implant & Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

049563 Issued in NY

Legal business name

NIAGARA DENTAL IMPLANT & ORAL SURGERY

Practice address

9650 Main St
Clarence, NY 14031-2004

Phone

(716) 759-0707

Fax

(716) 759-0709

NPI assigned

Aug 12, 2013

Organization subpart

No

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

Authorized official

Name

Sanil Nigalye, DDS, MD

Title

Owner

Phone

(716) 282-0285

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1215360441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312004",
            "telephone_number": "716-759-0707",
            "fax_number": "716-759-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312004",
            "telephone_number": "716-759-0707",
            "fax_number": "716-759-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA DENTAL IMPLANT & ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "NIGALYE",
        "authorized_official_first_name": "SANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-282-0285",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra J. Mineo, LCSW
• Susan Minkiewicz Gugliuzza, RNC, MS
• Jacqueline Marie Morgante, M.S., CCC-SLP
• Carly Marie Mrozek, OTR/L
• Kenny Yat NG, PHARMACIST
• Niagara Oxygen Inc
• North Point Medical Inc
• Northtown Podiatry Group PC
• Anna Grace Ottaviano, LMSW
• Marilyn Jean Pantano, LMSW

• Oral and Maxillofacial Surgery (Dentist) in Clarence, NY
• Providers in Clarence, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.