1518792068 NPI number — BUFFALO DENTAL SMILE DESIGN PC

Table of content: ROSA MARIA BRISENO GOMEZ (NPI 1437838406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518792068 NPI number — BUFFALO DENTAL SMILE DESIGN PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUFFALO DENTAL SMILE DESIGN PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518792068
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/04/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
175 HUMBOLDT ST STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14610-1058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-319-5400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 HOPKINS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14221-4641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-406-0600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LAMAR
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO, FOUNDER
Authorized Official Telephone Number:
585-738-6650

Provider Taxonomy Codes

  • Taxonomy code: 1223P0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223S0112X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)