Richard Alan Etengoff in Buffalo - Orthodontics And Dentofacial Orthopedics
Richard Alan Etengoff - NPI 1841486412
Richard Alan Etengoff is a Orthodontics And Dentofacial Orthopedics in Buffalo, New York. Richard Alan Etengoff practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard Alan Etengoff is 1841486412. The last update date is 2007-09-18.
Richard Alan Etengoff's current location address is 1241 Colvin Ave, Buffalo, New York. You can contact this provider via phone number 7168775941 and fax number 7168778409. The mailing address for Richard Alan Etengoff is 1241 Colvin Ave, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Alan Etengoff |
|---|---|
| Address | 1241 Colvin Ave, Buffalo, New York |
| Phone Number | 7168775941 |
| Fax Number | 7168778409 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1841486412 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 1241 Colvin Ave |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 14223 |
| Phone Number | 7168775941 |
| Fax Number | 7168778409 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 320981 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 695001 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard Alan Etengoff by the Centers for Medicare & Medicaid Services?
The Richard Alan Etengoff has been assigned the NPI (National Provider Identifier) 1841486412 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Richard Alan Etengoff's facilities are geographically located?
The facilities of Richard Alan Etengoff are physically situated at the following location: 1241 Colvin Ave, Buffalo, NY, 14223.
What is the Richard Alan Etengoff's specialty and taxonomy code?
The Richard Alan Etengoff's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841486412 to Richard Alan Etengoff?
The Centers for Medicare & Medicaid Services assigned the 1841486412 to Richard Alan Etengoff on 2007-09-18.
As of what date was the information regarding Richard Alan Etengoff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard Alan Etengoff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-18.