Organization Name: | WNY DENTAL CARE, PC |
NPI Number: | 1023166873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA MCDOUGAL (PEDIATRIC DENTIST) |
Mailing Address: | 126 E Main St Victor |
State: | NY US |
Postal Code: | 145641304 |
Phone Number: | 5859247190 |
Fax Number: | 5859241875 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 51878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |