National Provider Identifier
Kathleen D Balthasar, DDS
Kathleen D Balthasar, DDS is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 875-2904.
Profile Overview
- NPI
- 1144315003
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- October 04, 2006
- Last Updated
- November 13, 2015
Practice Location
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Phone: (716) 875-2904
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1144315003
- Entity Type
- Individual
- Last Name
- Balthasar
- First Name
- Kathleen
- Middle Name
- D
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 155 Lawn Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1816
- Mailing Country
- US
- Mailing Phone
- (716) 875-2904
- Mailing Fax
- (716) 875-6717
- Practice Street Address
- 155 Lawn Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1816
- Practice Country
- US
- Practice Phone
- (716) 875-2904
- Practice Fax
- (716) 875-6717
- Enumeration Date
- October 04, 2006
- Last Updated
- November 13, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 00075551300 (NY, Bc/Bs), 10596 (NY, Doral), 400151 (NY, Independent Health), 722046 (NY, Aetna)