Advanced Dental of Wny
Organization Active NPI Dental Clinic/Center · Niagara Falls, NY
NPI 1356093744 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1356093744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ADVANCED DENTAL OF WNY
- Practice address
- 9501 Niagara Falls Blvd
Niagara Falls, NY 14304-4910 - Phone
- (716) 297-1711
- NPI assigned
- Jan 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert J Lacarrubba, DDS
- Title
- Owner/Dentist
- Phone
- (716) 297-1711
Practitioners 1
-
Robert J Lacarrubba, DDS
National Provider Directory
Locations
9501 Niagara Falls Blvd
Niagara Falls, NY 14304
Phone (716) 297-1711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
9501 Niagara Falls Blvd
Niagara Falls, NY 14304-4910
Mailing address
9501 Niagara Falls Blvd
Niagara Falls, NY 14304-4910
Phone (716) 297-1711
Other names
- Advanced Dental
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. 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.