National Provider Identifier
Peter R Kowalski, DDS
Peter R Kowalski, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lackawanna, NY and a listed phone number of (716) 823-4455.
Profile Overview
- NPI
- 1194739144
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- July 27, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1209 Ridge RD
- Lackawanna, NY 14218-1818
Phone: (716) 823-4455
Mailing Address
- 200 Martin Ave
- Blasdell, NY 14219-1548
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1194739144
- Entity Type
- Individual
- Last Name
- Kowalski
- First Name
- Peter
- Middle Name
- R
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 200 Martin Ave
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-1548
- Mailing Country
- US
- Mailing Phone
- (716) 823-5650
- Practice Street Address
- 1209 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1818
- Practice Country
- US
- Practice Phone
- (716) 823-4455
- Enumeration Date
- July 27, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)