Philip Vincent Buffa, DMD

Individual provider Active NPI General Practice Dentistry · Franklin Square, NY

NPI 1275640732 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1275640732
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
031747 (NY)
Practice address
486 Dogwood Ave
Franklin Square, NY 11010-3349
Phone
(516) 489-3844
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 031747 NY Yes

Addresses

Primary practice location

486 Dogwood Ave
Franklin Square, NY 11010-3349

Mailing address

486 Dogwood Ave
Franklin Square, NY 11010-3349
Phone (516) 489-3844

Other providers in Franklin Square, NY

All providers in Franklin Square, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.