National Provider Identifier
Bryan St Marie
Bryan St Marie is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 662-7183.
Profile Overview
- NPI
- 1275995102
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- March 21, 2016
- Last Updated
- February 27, 2021
Practice Location
- 3435 Main St #32
- Buffalo, NY 14214
Phone: (716) 662-7183
Mailing Address
- 27 Silent Meadow
- Orchard Park, NY 14127
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1275995102
- Entity Type
- Individual
- Last Name
- St Marie
- First Name
- Bryan
- Mailing Street Address
- 27 Silent Meadow
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127
- Mailing Country
- US
- Practice Street Address
- 3435 Main St #32
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214
- Practice Country
- US
- Practice Phone
- (716) 662-7183
- Enumeration Date
- March 21, 2016
- Last Updated
- February 27, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 27, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)