National Provider Identifier
Othman Shibly, DDS, MS
Othman Shibly, DDS, MS is listed in the NPPES registry with a primary specialty of Periodontics in Buffalo, NY and a listed phone number of (716) 829-3845.
Profile Overview
- NPI
- 1174730568
- Provider Type
- Individual
- Primary Specialty
- Periodontics
- Enumeration Date
- May 17, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3435 Main St
- 250 Squire Hall
- Buffalo, NY 14214-3001
Phone: (716) 829-3845
Specialties
- Periodontics (1223P0300X)
Full Record
- NPI
- 1174730568
- Entity Type
- Individual
- Last Name
- Shibly
- First Name
- Othman
- Name Prefix
- Dr.
- Credential
- DDS, MS
- Mailing Street Address
- 3435 Main St
- Mailing Address Line 2
- 250 Squire Hall
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-3001
- Mailing Country
- US
- Mailing Phone
- (716) 829-3845
- Mailing Fax
- (716) 837-7623
- Practice Street Address
- 3435 Main St
- Practice Address Line 2
- 250 Squire Hall
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-3001
- Practice Country
- US
- Practice Phone
- (716) 829-3845
- Practice Fax
- (716) 837-7623
- Enumeration Date
- May 17, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Periodontics (1223P0300X)