National Provider Identifier

Charles Alan Matlach

Charles Alan Matlach is listed in the NPPES registry with a primary specialty of Dentist in Boston, NY and a listed phone number of (716) 941-5433.

NPI 1306859483Boston, NYDentist

Profile Overview

NPI
1306859483
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
August 13, 2006
Last Updated
November 01, 2010

Practice Location

  • 8397 Boston State RD
  • Boston, NY 14025-9651

Phone: (716) 941-5433

Mailing Address

  • 5281 Via Del Sole
  • Williamsville, NY 14221

Specialties

  • Dentist (122300000X)
Full Record
NPI
1306859483
Entity Type
Individual
Last Name
Matlach
First Name
Charles
Middle Name
Alan
Mailing Street Address
5281 Via Del Sole
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221
Mailing Country
US
Mailing Phone
(716) 636-8215
Mailing Fax
(716) 688-2984
Practice Street Address
8397 Boston State RD
Practice City
Boston
Practice State
NY
Practice ZIP Code
14025-9651
Practice Country
US
Practice Phone
(716) 941-5433
Practice Fax
(716) 941-5972
Enumeration Date
August 13, 2006
Last Updated
November 01, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)