WESTERN NEW YORK DENTAL GROUP,PC (NPI# 1992878086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992878086 |
| Entity Type | Organization |
| Organization Name | WESTERN NEW YORK DENTAL GROUP,PC |
| Practice Address |
9290 Boston State Rd Boston NY 14025-9604 |
| Mailing Address |
125 Lawrence Bell Dr Suite 102 Williamsville NY 14221-7817 |
| Practice Telephone | 7169415352 |
| Practice Fax Number | 7169415566 |
| Mailing Telephone | 7166344679 |
| Mailing Fax Number | 7166345415 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL D. EHLERS (OWNER) |
| Authorized Official Telephone | 7169415352 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
039829 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861554396 | Western New York Dental Group,pc | Dentist | 3333 E Henrietta Road, Rochester, NY 14623 | 2006-12-14 |
| 1598838674 | Western New York Dental Group,pc | Dentist | 233 W Ferry St, Buffalo, NY 14213-1816 | 2006-11-16 |
| 1104999283 | Western New York Dental Group,pc | Dentist | 107 Delaware Ave, Mezzanine Level, Statler Towers, Buffalo, NY 14202-2810 | 2006-11-16 |
| 1437365772 | Western New York Dental Group,pc | Dentist | 125 Lawrence Bell Dr, Suite 102, Williamsville, NY 14221-7817 | 2007-05-15 |
| 1619039773 | Western New York Dental Group,pc | Dentist | 1510 Ridge Rd W, Rochester, NY 14615-2405 | 2006-12-15 |
| 1356401434 | Western New York Dental Group,pc | Dentist | 3990 Mckinley Pkwy, Suite 2, Blasdell, NY 14219-2900 | 2006-12-11 |
| Street Address |
9290 BOSTON STATE RD |
| City | BOSTON |
| State | NY |
| Zip Code | 14025-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265442347 | Bernard J Michaels | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2006-08-09 |
| 1285134932 | Amanda Maher | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2018-02-20 |
| 1285989624 | Eugene Khaylomsky | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2012-07-23 |
| 1558561308 | Phanith Leang Lim | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467793554 | Kathy Zeniuk | Early Intervention Provider Agency | 6540 Hillcrcoft Dr., Boston, NY 14025 | 2013-03-14 |
| 1437496320 | Wendy Weber | Occupational Therapy Assistant | 6868bw West Tillen Rd, Boston, NY 14025 | 2013-01-11 |
| 1013086164 | Charles Joseph Hornberger Sr. | Optometrist | 8425 Boston State Road, Boston, NY 14025 | 2006-11-06 |
| 1407377153 | Marie Catherine Ellis | Licensed Practical Nurse | 140 Pine Street, Hamburg, NY 14025 | 2017-07-03 |
| 1528242062 | Karen L. Leatherbarrow | Speech-Language Pathologist | 10495 Manchester Rd, 10495 Manchester Road, Boston, NY 14025-9505 | 2007-12-19 |
| 1740505643 | Learning Ladder Therapeutic Assoc. Inc. | Early Intervention Provider Agency | 10495 Manchester Rd, Boston, NY 14025-9505 | 2010-04-02 |
| 1689873077 | Catherine E Sumbrum | Registered Nurse | 6631 Aspen Dr, Boston, NY 14025-9607 | 2007-07-16 |
| 1487131926 | Amy Susan Fleissner Collins | Psychologist | 8910 Boston State Rd, Boston, NY 14025-9610 | 2018-07-27 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1215173091 | Rhonda Susan Davis | Occupational Therapy Assistant | 6748 Hillcroft Dr, Boston, NY 14025-9645 | 2008-12-27 |
| Find all providers in zip 14025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1225655152 | Qian Lin | Dentist | 151 Tremont St Apt 9s, Boston, MA 02111-1145 | 2020-06-26 |
| 1982225223 | Stephanie Mccarthy Brooks | Dentist | 63 Rutland St Apt 2, Boston, MA 02118-1586 | 2020-04-28 |
| 1922656008 | Amro Ehsan Moharem | Dentist | 888 Washington St Apt 204, Boston, MA 02111-1434 | 2019-08-31 |
| 1104486521 | Christine Chiao | Dentist | 691 Massachusetts Ave Unit 404, Boston, MA 02118-4079 | 2019-06-18 |
| 1912466988 | Kathleen Murphy | Dentist | 75 Chestnut St Apt 22, Boston, MA 02108-1137 | 2019-03-18 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1508347717 | Omar Alani | Dentist | 100 E Newton St Dept Of, Boston, MA 02118-2308 | 2018-08-25 |
| 1912490822 | Mikenah Joy Vega | Dentist | 231 Harrison Ave Apt 16, Boston, MA 02111-1857 | 2018-06-14 |
| Find all providers in BOSTON | ||||
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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.