National Provider Identifier
Dawn Renee Copperthite, RD, CDN
Dawn Renee Copperthite, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Williamsville, NY and a listed phone number of (716) 228-8163.
Profile Overview
- NPI
- 1114015237
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- October 11, 2006
- Last Updated
- September 22, 2015
Practice Location
- 300 International Dr
- Suite 100
- Williamsville, NY 14221-5781
Phone: (716) 228-8163
Mailing Address
- 5666 Keck RD
- Lockport, NY 14094-9307
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1114015237
- Entity Type
- Individual
- Last Name
- Copperthite
- First Name
- Dawn
- Middle Name
- Renee
- Name Prefix
- Mrs.
- Credential
- RD, CDN
- Provider Other Last Name
- Bunger
- Provider Other First Name
- Dawn
- Provider Other Middle Name
- Renee
- Provider Other Credential Text
- RD, CDN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5666 Keck RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-9307
- Mailing Country
- US
- Mailing Phone
- (716) 228-8163
- Mailing Fax
- (716) 626-3416
- Practice Street Address
- 300 International Dr
- Practice Address Line 2
- Suite 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5781
- Practice Country
- US
- Practice Phone
- (716) 228-8163
- Practice Fax
- (716) 626-3416
- Enumeration Date
- October 11, 2006
- Last Updated
- September 22, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)
- Other Identifiers
- 00026589601 (NY, Univera Healthcare #), 65-10942 (NY, Independent Health #), J300238909 (NY, Cmsmed)