Professional Dental Alliance WM, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROFESSIONAL DENTAL ALLIANCE WM, PLLC

Doing business as

WM Dental Care

Practice address

17 Long Ave Ste 108
Hamburg, NY 14075-6200

Phone

(716) 655-5000

Fax

(716) 649-6623

NPI assigned

Oct 21, 2024

Last updated

Dec 11, 2024By 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

Erica Quinteros

Title

Credentialing

Phone

(724) 901-1964

Specialties & licenses 1

Addresses

Other names 1

• WM Dental Care Doing business as

Locations

Practitioners 2

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.

• Jacob Antonio Graca, DDS

  • Dentist
  • Hamburg, NY
  • NPI 1932853207
  NPD (past)
• Caitlin Viele Haggerty, DDS

  • General Practice Dentistry
  • Hamburg, NY
  • NPI 1629951165
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1962223198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LONG AVE STE 108",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756200",
            "telephone_number": "716-655-5000",
            "fax_number": "716-649-6623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261548",
            "country_code": "US",
            "telephone_number": "716-508-4547",
            "fax_number": "716-834-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Main St",
            "address_purpose": "LOCATION",
            "city": "East Aurora",
            "state": "NY",
            "postal_code": "140521924",
            "country_code": "US",
            "telephone_number": "716-508-4547",
            "fax_number": "716-649-6623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL ALLIANCE WM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "QUINTEROS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "724-901-1964"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WM Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WM Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Porter
• Hollie Michelle Potter, LPN
• Shawn Powers
• Premier Ambulatory Surgery Center
• Tara Prishwalko, PT
• Psychological Services of Wny PLLC
• Jillian Anita Pyszczynski
• Queen City Endodontics
• Tyra Quicksey
• Patricia M Quinn, RN

• General Practice Dentistry in Hamburg, NY
• Providers in Hamburg, 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 Dec 11, 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.