Victor Anthony Bochacki, D.M.D.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Springville, NY
NPI 1285708669 · NPPES record last updated Jan 5, 2008
Key facts
- NPI
- 1285708669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 040655-1 (NY)
- Practice address
- 22 S Buffalo St
Springville, NY 14141-1239 - Phone
- (716) 592-2277
- NPI assigned
- Nov 20, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040655-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 040655-1 | NY | Yes |
Addresses
Primary practice location
22 S Buffalo St
Springville, NY 14141-1239
Mailing address
132 Burbank Dr
Orchard Park, NY 14127-2383
Phone (716) 667-3412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01006968 | Medicaid | NY |
Other providers in Springville, NY
- Bertrand Chaffee Hospital
- Jennifer Lynne Bevilacqua
- Kathleen M. J. Bienias
- Jenna Lynn Bissonnette
- Board of Education
- Virginia Kathryn Bond
- Jamie Borow
- Tricia E Brand
- David L Braymiller
- Dean Mark Brewer Jr.
All providers in Springville, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.