NPIMap

Organization Active NPI

Western New York Dental Group, P.C.

Doing business as Western New York Dental Group Lancaster

  • Dentist
  • Depew, NY
National Provider Identifier
1700109162
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047869 Issued in NY
Legal business name
WESTERN NEW YORK DENTAL GROUP, P.C.
Doing business as
Western New York Dental Group Lancaster
Practice address
5007 Transit Rd
Depew, NY 14043-4617
Phone
(716) 652-7080
Fax
(716) 206-0895
NPI assigned
Mar 12, 2010
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Hannah Fish
Title
Credentialing Manager
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047869 NY Primary

Addresses

Primary practice location

5007 Transit Rd
Depew, NY 14043-4617

Mailing address

5007 Transit Rd
Depew, NY 14043-4617
Phone (716) 652-7080

Other names 1

  • Western New York Dental Group Lancaster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dentistry of Lancaster PLLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1700109162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434617",
            "telephone_number": "716-652-7080",
            "fax_number": "716-206-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434617",
            "telephone_number": "716-652-7080",
            "fax_number": "716-206-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western New York Dental Group Lancaster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.