Queen City Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

QUEEN CITY FAMILY DENTISTRY PLLC

Practice address

31 Maple Rd
Amherst, NY 14221

Phone

(716) 635-9657

Fax

(716) 635-9658

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Samantha J SmithNPI 1124434626

Title

Owner

Phone

(716) 635-9657

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Samantha Smith

  • General Practice Dentistry
  • Amherst, NY
  • NPI 1124434626
  NPD Authorized official
• Douglas Reid Hamill, D.D.S.

  • General Practice Dentistry
  • Williamsville, NY
  • NPI 1245373943
  NPD (past)

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1780431197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142212920",
            "telephone_number": "716-635-9657",
            "fax_number": "716-635-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-635-9657",
            "fax_number": "716-635-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-635-9657"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Puff, RN
• Brian Christopher Punturiero, D.C.
• Mohammad Qasaymeh, M.D.
• Chelsea M Quarshie, LCSW
• Quater Diagnostic Labs LLC
• Lisa Quinn, FNP
• Melanie Quinn, FNP
• Morgan Elizabeth Rachko, PA-C
• Ashley Rackley
• Bellamkonda S Raghu, M.D.

• General Practice Dentistry in Amherst, NY
• Providers in Amherst, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.