National Provider Identifier

Pramod Philip

Pramod Philip is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Buffalo, NY and a listed phone number of (716) 829-6189.

NPI 1396196713Buffalo, NYOrthodontics and Dentofacial Orthopedics Dentistry

Profile Overview

NPI
1396196713
Provider Type
Individual
Primary Specialty
Orthodontics and Dentofacial Orthopedics Dentistry
Enumeration Date
June 27, 2016
Last Updated
February 17, 2020

Practice Location

  • 150 Squire Hall
  • Buffalo, NY 14214-8006

Phone: (716) 829-6189

Mailing Address

  • 110 Spring Meadow Dr Apt 10
  • Buffalo, NY 14221-8422

Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
NPI
1396196713
Entity Type
Individual
Last Name
Philip
First Name
Pramod
Mailing Street Address
110 Spring Meadow Dr Apt 10
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14221-8422
Mailing Country
US
Mailing Phone
(216) 246-1576
Practice Street Address
150 Squire Hall
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-8006
Practice Country
US
Practice Phone
(716) 829-6189
Enumeration Date
June 27, 2016
Last Updated
February 17, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
February 17, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)