Active NPI
Dolores J. Wawrzynek, DDS
- Oral and Maxillofacial Surgery (Dentist)
- N Tonawanda, NY
National Provider Identifier
1215996871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 039532
- Practice address
- 475 Payne Ave
N Tonawanda, NY 14120-6903 - Phone
- (716) 695-4984
- Fax
- (716) 695-4985
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 039532 | NY | Primary |
Addresses
Primary practice location
475 Payne Ave
N Tonawanda, NY 14120-6903
Mailing address
475 Payne Ave
N Tonawanda, NY 14120-6903
Phone (716) 695-4984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01085574 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039532 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215996871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 PAYNE AVE",
"city": "N TONAWANDA",
"state": "NY",
"postal_code": "141206903",
"telephone_number": "716-695-4984",
"fax_number": "716-695-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 PAYNE AVE",
"city": "N TONAWANDA",
"state": "NY",
"postal_code": "141206903",
"telephone_number": "716-695-4984",
"fax_number": "716-695-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAWRZYNEK",
"first_name": "DOLORES",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "039532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01085574",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.