National Provider Identifier

J Nicholas Porcello, DDS

J Nicholas Porcello, DDS is listed in the NPPES registry with a primary specialty of Dentist in Salamanca, NY and a listed phone number of (716) 945-5894.

NPI 1053369983Salamanca, NYDentist

Profile Overview

NPI
1053369983
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
May 04, 2006
Last Updated
December 30, 2016

Practice Location

  • Lionel R. John Health Center
  • 987 Rc Hoag Dr
  • Salamanca, NY 14779

Phone: (716) 945-5894

Specialties

  • Dentist (122300000X)
Full Record
NPI
1053369983
Entity Type
Individual
Last Name
Porcello
First Name
J
Middle Name
Nicholas
Credential
DDS
Mailing Street Address
Lionel R. John Health Center
Mailing Address Line 2
987 Rc Hoag Dr
Mailing City
Salamanca
Mailing State
NY
Mailing ZIP Code
14779
Mailing Country
US
Mailing Phone
(716) 945-5894
Mailing Fax
(716) 945-5889
Practice Street Address
Lionel R. John Health Center
Practice Address Line 2
987 Rc Hoag Dr
Practice City
Salamanca
Practice State
NY
Practice ZIP Code
14779
Practice Country
US
Practice Phone
(716) 945-5894
Practice Fax
(716) 945-5889
Enumeration Date
May 04, 2006
Last Updated
December 30, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)
Other Identifiers
000527781001 (NY, Bc/Bs Of Wny), 00001783898 (NY, United Concordia), 00025887504 (NY, Univera/Healthplex)