Active NPI
Bruce T Ridolfo, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Orchard Park, NY
National Provider Identifier
1437195443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 038442
- Practice address
- 6576 E Quaker St
Orchard Park, NY 14127-2502 - Phone
- (716) 662-9341
- Fax
- (716) 662-0317
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- 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 | 038442 | NY | Primary |
Addresses
Primary practice location
6576 E Quaker St
Orchard Park, NY 14127-2502
Mailing address
124 Rivermist Dr
Buffalo, NY 14202-4300
Phone (716) 854-1270
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 |
|---|---|---|---|
| 038442 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 38442 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437195443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 RIVERMIST DR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024300",
"telephone_number": "716-854-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6576 E QUAKER ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272502",
"telephone_number": "716-662-9341",
"fax_number": "716-662-0317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDOLFO",
"first_name": "BRUCE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "038442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, 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.