National Provider Identifier

David K Mazgaj, D.M.D.

David K Mazgaj, D.M.D. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lackawanna, NY and a listed phone number of (716) 823-1770.

NPI 1265615983Lackawanna, NYGeneral Practice Dentistry

Profile Overview

NPI
1265615983
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
December 17, 2007
Last Updated
December 17, 2007

Practice Location

  • 1616 Abbott RD
  • Lackawanna, NY 14218-2937

Phone: (716) 823-1770

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1265615983
Entity Type
Individual
Last Name
Mazgaj
First Name
David
Middle Name
K
Name Prefix
Dr.
Credential
D.M.D.
Mailing Street Address
1616 Abbott RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-2937
Mailing Country
US
Mailing Phone
(716) 823-1770
Mailing Fax
(716) 332-4329
Practice Street Address
1616 Abbott RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-2937
Practice Country
US
Practice Phone
(716) 823-1770
Practice Fax
(716) 332-4329
Enumeration Date
December 17, 2007
Last Updated
December 17, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)