Richard Etengoff Dds Pc in Buffalo - Orthodontics And Dentofacial Orthopedics
Richard Etengoff Dds Pc - NPI 1194911693
Richard Etengoff Dds Pc is a Orthodontics And Dentofacial Orthopedics in Buffalo, New York. Richard Etengoff Dds Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard Etengoff Dds Pc is 1194911693. The last update date is 2007-09-18.
Richard Etengoff Dds Pc'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 Etengoff Dds Pc is 1241 Colvin Ave, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Richard Etengoff Dds Pc |
|---|---|
| Address | 1241 Colvin Ave, Buffalo, New York |
| Phone Number | 7168775941 |
| Fax Number | 7168778409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Etengoff Alan Richard |
| Credentials | DDS |
| Telephone Number | 7168775941 |
NPI Number Detail
| NPI Number | 1194911693 |
|---|---|
| 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 Etengoff Dds Pc by the Centers for Medicare & Medicaid Services?
The Richard Etengoff Dds Pc has been assigned the NPI (National Provider Identifier) 1194911693 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Richard Etengoff Dds Pc's physical address?
The Richard Etengoff Dds Pc is physically located at 1241 Colvin Ave, in the city of Buffalo, NY, with the postal code 14223.
What is Richard Etengoff Dds Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Etengoff Dds Pc's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
When did Richard Etengoff Dds Pc receive its 1194911693 assignment?
The Richard Etengoff Dds Pc was assigned its 1194911693 on 2007-09-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Richard Etengoff Dds Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard Etengoff Dds Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-18.