National Provider Identifier

Kevin Scott Manzella, DDS, MS

Kevin Scott Manzella, DDS, MS is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in West Seneca, NY and a listed phone number of (716) 337-5066.

NPI 1144745472West Seneca, NYOrthodontics and Dentofacial Orthopedics Dentistry

Profile Overview

NPI
1144745472
Provider Type
Individual
Primary Specialty
Orthodontics and Dentofacial Orthopedics Dentistry
Enumeration Date
August 08, 2017
Last Updated
March 17, 2018

Practice Location

  • 4306 Seneca St
  • West Seneca, NY 14224-3169

Phone: (716) 337-5066

Mailing Address

  • 327 Euclid Ave
  • Kenmore, NY 14217-2903

Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
  • Dentist (122300000X)
Full Record
NPI
1144745472
Entity Type
Individual
Last Name
Manzella
First Name
Kevin
Middle Name
Scott
Name Prefix
Dr.
Credential
DDS, MS
Mailing Street Address
327 Euclid Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2903
Mailing Country
US
Mailing Phone
(716) 785-4684
Practice Street Address
4306 Seneca St
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3169
Practice Country
US
Practice Phone
(716) 337-5066
Practice Fax
(716) 677-5413
Enumeration Date
August 08, 2017
Last Updated
March 17, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), Dentist (122300000X)