National Provider Identifier

Ryan Corbelli, DDS

Ryan Corbelli, DDS is listed in the NPPES registry with a primary specialty of Periodontics in East Amherst, NY and a listed phone number of (716) 626-4427.

NPI 1316563448East Amherst, NYPeriodontics

Profile Overview

NPI
1316563448
Provider Type
Individual
Primary Specialty
Periodontics
Enumeration Date
June 24, 2020
Last Updated
January 18, 2021

Practice Location

  • 6489 Transit RD
  • East Amherst, NY 14051-1427

Phone: (716) 626-4427

Mailing Address

  • 240 Tiffany Ln
  • Lancaster, NY 14086-9202

Specialties

  • Periodontics (1223P0300X)
Full Record
NPI
1316563448
Entity Type
Individual
Last Name
Corbelli
First Name
Ryan
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
240 Tiffany Ln
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-9202
Mailing Country
US
Mailing Phone
(716) 573-4734
Practice Street Address
6489 Transit RD
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1427
Practice Country
US
Practice Phone
(716) 626-4427
Enumeration Date
June 24, 2020
Last Updated
January 18, 2021
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 18, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Periodontics (1223P0300X)