National Provider Identifier

Domenico M. Berardi, DDS

Domenico M. Berardi, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Williamsville, NY and a listed phone number of (716) 633-2327.

NPI 1154417616Williamsville, NYGeneral Practice Dentistry

Profile Overview

NPI
1154417616
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 04, 2006
Last Updated
July 08, 2007

Practice Location

  • 2322 Wehrle Dr
  • Williamsville, NY 14221-7021

Phone: (716) 633-2327

Mailing Address

  • 11 Buckingham Ct
  • Lancaster, NY 14086-9452

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1154417616
Entity Type
Individual
Last Name
Berardi
First Name
Domenico
Middle Name
M.
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
11 Buckingham Ct
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-9452
Mailing Country
US
Mailing Phone
(716) 683-5164
Practice Street Address
2322 Wehrle Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7021
Practice Country
US
Practice Phone
(716) 633-2327
Practice Fax
(716) 633-0831
Enumeration Date
October 04, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)