Professional Oral Surgery Alliance of Upstate New York, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PROFESSIONAL ORAL SURGERY ALLIANCE OF UPSTATE NEW YORK, PLLC

Doing business as

Oral & Maxillofacial Surgery Associates of WNY Depew
Oral & Maxillofacial Surgery Associates of WNY Olean
Oral & Maxillofacial Surgery Associates of WNY West Seneca

Practice address

4708 Transit Rd
Depew, NY 14043-4862

Phone

(716) 668-3315

NPI assigned

Mar 6, 2025

Last updated

Mar 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayla Graham

Title

Credentialing Specialist

Phone

(724) 698-2474

Specialties & licenses 1

Addresses

Other names 3

• Oral & Maxillofacial Surgery Associates of WNY Depew Doing business as
• Oral & Maxillofacial Surgery Associates of WNY Olean Doing business as
• Oral & Maxillofacial Surgery Associates of WNY West Seneca Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margarita D. Varer, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Depew, NY
  • NPI 1811300593
  NPD
• Michael Boyczuk, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • West Seneca, NY
  • NPI 1821024670
  NPD (past)
• William Boyczuk, MD, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • West Seneca, NY
  • NPI 1891721874
  NPD (past)
• Nebridio Mario Dinardo, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • West Seneca, NY
  • NPI 1013958065
  NPD (past)
• Fred Rodems, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • West Seneca, NY
  • NPI 1497799647
  NPD (past)
• Gregory Daniel White, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsville, NY
  • NPI 1154764793
  NPD (past)

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1740088608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223",
            "telephone_number": "724-698-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434862",
            "telephone_number": "716-668-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243339",
            "country_code": "US",
            "telephone_number": "716-675-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2206 W State St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601922",
            "country_code": "US",
            "telephone_number": "716-372-9042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL ORAL SURGERY ALLIANCE OF UPSTATE NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "724-698-2474"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Maxillofacial Surgery Associates of WNY Depew",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral & Maxillofacial Surgery Associates of WNY Olean",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral & Maxillofacial Surgery Associates of WNY West Seneca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Powalski, DDS
• Lori Prelewicz
• Michael James Prentice, D.C.
• Carly Presti, OTR/L
• Mark Christopher Prior, D.C. PHARM D
• Charles Puma, OTR/L
• Khalid J Qazi, MD
• Jessica Quaranto, RN
• Dana Marie Ranallo, PHARMD
• Eric W Read, DPT

• Oral and Maxillofacial Surgery (Dentist) in Depew, NY
• Providers in Depew, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.