National Provider Identifier
Stephen J Illig, DDS
Stephen J Illig, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Salamanca, NY and a listed phone number of (716) 945-5894.
Profile Overview
- NPI
- 1336233477
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- October 03, 2006
- Last Updated
- April 21, 2025
Practice Location
- 987 R C Hoag Dr
- Salamanca, NY 14779-1365
Phone: (716) 945-5894
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1336233477
- Entity Type
- Individual
- Last Name
- Illig
- First Name
- Stephen
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 987 R C Hoag Dr
- Mailing City
- Salamanca
- Mailing State
- NY
- Mailing ZIP Code
- 14779-1365
- Mailing Country
- US
- Mailing Phone
- (716) 945-5894
- Mailing Fax
- (716) 242-6345
- Practice Street Address
- 987 R C Hoag Dr
- Practice City
- Salamanca
- Practice State
- NY
- Practice ZIP Code
- 14779-1365
- Practice Country
- US
- Practice Phone
- (716) 945-5894
- Practice Fax
- (716) 242-6345
- Enumeration Date
- October 03, 2006
- Last Updated
- April 21, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 4001458 (NY, Independent Health), 007016271 (NY, Wnybcbs), 00807727 (NY), 143435 (United Concordia)