Organization Active NPI

Gentledentistry of East Aurora, PLLC

  • Dentist
  • East Aurora, NY
National Provider Identifier
1386967321
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047869 Issued in NY
Legal business name
GENTLEDENTISTRY OF EAST AURORA, PLLC
Practice address
215 Main St
East Aurora, NY 14052-1634
Phone
(716) 652-7080
Fax
(716) 652-3465
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dr. Leslie Glassbrenner, DMD
Title
Owner/President
Phone
(716) 652-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047869 NY Primary

Addresses

Primary practice location

215 Main St
East Aurora, NY 14052-1634

Mailing address

215 Main St
East Aurora, NY 14052-1634
Phone (716) 652-7080

National Provider Directory

National Provider Directory

Locations

215 Main St
East Aurora, NY 14052
Phone (716) 652-7080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1386967321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521634",
            "telephone_number": "716-652-7080",
            "fax_number": "716-652-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521634",
            "telephone_number": "716-652-7080",
            "fax_number": "716-652-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLEDENTISTRY OF EAST AURORA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "GLASSBRENNER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "716-652-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.