National Provider Identifier
Brent Popovich, D.M.D.
Brent Popovich, D.M.D. is listed in the NPPES registry with a primary specialty of Dentist in Tonawanda, NY and a listed phone number of (716) 693-0232.
Profile Overview
- NPI
- 1225417249
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- May 22, 2015
- Last Updated
- September 12, 2021
Practice Location
- 157 Main St
- Tonawanda, NY 14150-3346
Phone: (716) 693-0232
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1225417249
- Entity Type
- Individual
- Last Name
- Popovich
- First Name
- Brent
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 157 Main St
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-3346
- Mailing Country
- US
- Mailing Phone
- (716) 693-0232
- Practice Street Address
- 157 Main St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-3346
- Practice Country
- US
- Practice Phone
- (716) 693-0232
- Enumeration Date
- May 22, 2015
- Last Updated
- September 12, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 12, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)