Buffalo Dental Implant

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

045-272 Issued in NY

Legal business name

BUFFALO DENTAL IMPLANT

Doing business as

Buffalo Dental Advanced Cosmetics

Practice address

1526 Walden Ave. Suite 600
Buffalo Dental Implant
Cheektowaga, NY 14225

Phone

(716) 882-3777

Fax

(716) 464-6360

NPI assigned

Jun 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gregory A. Farber, D.D.S.

Title

President

Phone

(716) 882-3777

Specialties & licenses 1

Addresses

Other names 1

• Buffalo Dental Advanced Cosmetics Doing business as

Locations

Practitioners 1

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

• Diane P. Pudlewski, DDS

  • General Practice Dentistry
  • Cheektowaga, NY
  • NPI 1497775290
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1841720307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE",
            "address_2": "BUFFALO DENTAL IMPLANT SUITE 600",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-882-3777",
            "fax_number": "716-464-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE. SUITE 600",
            "address_2": "BUFFALO DENTAL IMPLANT",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-882-3777",
            "fax_number": "716-464-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO DENTAL IMPLANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-882-3777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "045-272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buffalo Dental Advanced Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buffalo Dental Advanced Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Marion Budzinski, MD
• Amanda Buell, FNP
• Peggy Buelow, LPN
• Buffalo Ambulatory Services, Inc (Buffalo Ambulatory Surgery Center)
• Buffalo Anesthesia Associates, P.C.
• Buffalo Implants and Periodontics PLLC
• Buffalo Minimally Invasive Weight Loss Surgical Solutions, PLLC
• Buffalo Niagara Transport, LLC (Buffalo Airport Shuttle, MedVan)
• Buffalo Wheelchair, Inc. (Buffalo CPAP)
• Guiseppina Bugenhagen

• Periodontics in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.