Jeffrey W Bates, D.D.S.
Individual provider Active NPI General Practice Dentistry · Newfane, NY
NPI 1962551077 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962551077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 046563 (NY)
- Practice address
- 2727 Main St
Newfane, NY 14108-1203 - Phone
- (716) 778-7449
- Fax
- (716) 778-0721
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046563 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newfane Family Dentistry | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046563 | NY | Yes |
Addresses
Primary practice location
2727 Main St
Newfane, NY 14108-1203
Mailing address
2727 Main St
Newfane, NY 14108-1203
Phone (716) 778-7449
Other providers in Newfane, NY
All providers in Newfane, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.