National Provider Identifier

Graci Marra Bax, DDS

Graci Marra Bax, DDS is listed in the NPPES registry with a primary specialty of Dentist in East Amherst, NY and a listed phone number of (716) 531-2389.

NPI 1295953586East Amherst, NYDentist

Profile Overview

NPI
1295953586
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
April 23, 2007
Last Updated
June 13, 2013

Practice Location

  • 364 Forest Edge Dr
  • East Amherst, NY 14051-1246

Phone: (716) 531-2389

Specialties

  • Dentist (122300000X)
Full Record
NPI
1295953586
Entity Type
Individual
Last Name
Bax
First Name
Graci
Middle Name
Marra
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
364 Forest Edge Dr
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1246
Mailing Country
US
Mailing Phone
(716) 531-2389
Practice Street Address
364 Forest Edge Dr
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1246
Practice Country
US
Practice Phone
(716) 531-2389
Enumeration Date
April 23, 2007
Last Updated
June 13, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)