DR. STEPHAN VIGLIOTTI JR. (NPI# 1376839803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376839803 |
Entity Type | Individual |
Full Name | DR. STEPHAN VIGLIOTTI JR. |
Credential | DDS |
Practice Address |
425 Michigan Ave Buffalo NY 14203 |
Mailing Address |
540 Maple Ave Saratoga Springs NY 12866-5621 |
Practice Telephone | 7168288308 |
Enumeration Date | 2011-06-23 |
Last Update Date | 2018-06-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
056167 | NY | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
425 Michigan Ave, Buffalo, NY 142032209 | 7168288308 |
Street Address |
425 MICHIGAN AVE |
City | BUFFALO |
State | NY |
Zip Code | 14203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154379444 | Sheehan Memorial Hospital | General Acute Care Hospital | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2006-05-05 |
1922414978 | Sameh Basta | Student in an Organized Health Care Education/Training Program | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2014-07-09 |
1669755625 | Lorraine Marie Frampton | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2011-09-26 |
1851689087 | Gloria A Molina | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2011-07-21 |
1730401860 | Aimee Francis Goldberg | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-02-16 |
1184956153 | Kathleen Ann Collins | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-02-02 |
1255663290 | Tangela Dion Watson-bogan | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-02-02 |
1366774366 | Christopher Thomas Conlon | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-02-02 |
1235461237 | James Mcclain | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-02-02 |
1356672489 | Willie J Smith | Counselor | 425 Michigan Ave, Buffalo, NY 14203-2209 | 2010-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
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1427300599 | Adham Azim | Dentist | 240 Squire Hall, Buffalo, NY 14214 | 2012-10-12 |
1699808709 | Jason J Setlock | Dentist | 95 Meadow Rd, Buffalo, NY 14216-3613 | 2007-03-14 |
1780774240 | Eugene A. Pantera Jr. | Dentist | 3435 Main St., 240 Squire Hall, Buffalo, NY 14214-3008 | 2006-10-13 |
1609870963 | Hiran Perinpanayagam | Dentist | 219 Bryant St, Buffalo, NY 14222-2006 | 2005-06-02 |
1295183606 | Blair Braunstein | Dentist | 2121 Main St, Suite 310, Buffalo, NY 14214-2693 | 2016-05-25 |
1538447404 | Patrick Joseph Battista | Dentist | 3435 Main St, 240 Rm, Buffalo, NY 14214-3001 | 2011-07-26 |
1043405186 | Ming Shih Levine | Dentist | 3435 Main St, Buffalo, NY 14214-3001 | 2007-09-12 |
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1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.