National Provider Identifier
Waiyawat Chotibut, D.D.S.
Waiyawat Chotibut, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lyons, NY and a listed phone number of (315) 946-4656.
Profile Overview
- NPI
- 1063583136
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- November 12, 2006
- Last Updated
- July 08, 2007
Practice Location
- 52 Broad St
- Lyons, NY 14489-1123
Phone: (315) 946-4656
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1063583136
- Entity Type
- Individual
- Last Name
- Chotibut
- First Name
- Waiyawat
- Credential
- D.D.S.
- Mailing Street Address
- 52 Broad St
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-1123
- Mailing Country
- US
- Mailing Phone
- (315) 946-4656
- Mailing Fax
- (315) 946-6849
- Practice Street Address
- 52 Broad St
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-1123
- Practice Country
- US
- Practice Phone
- (315) 946-4656
- Practice Fax
- (315) 946-6849
- Enumeration Date
- November 12, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)