Western New York Dental Group,PC
Organization Active NPI General Practice Dentistry · Boston, NY
NPI 1992878086 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992878086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 039829 (NY)
- Legal business name
- WESTERN NEW YORK DENTAL GROUP,PC
- Practice address
- 9290 Boston State Rd
Boston, NY 14025-9604 - Phone
- (716) 941-5352
- Fax
- (716) 941-5566
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael D. Ehlers, D.D.S.
- Title
- Owner
- Phone
- (716) 941-5352
Corporate family (same tax ID) 14
Practitioners 4
-
Phanith Leang Lim, D.D.S.
-
Bernard J Michaels, DDS
-
Amanda Maher Sohotra, DDS
National Provider Directory
- Tax ID family
- Western New York Dental Grouppc
Locations
9290 Boston State Rd
Boston, NY 14025
Phone (716) 941-5352
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 039829 | NY | Yes |
Addresses
Primary practice location
9290 Boston State Rd
Boston, NY 14025-9604
Mailing address
125 Lawrence Bell Dr
Suite 102
Williamsville, NY 14221-7817
Phone (716) 634-4679
Other providers in Boston, NY
All providers in Boston, 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.