National Provider Identifier
Bernard M Eisen, DDS
Bernard M Eisen, DDS is listed in the NPPES registry with a primary specialty of Dentist in Angola, NY and a listed phone number of (716) 549-3111.
Profile Overview
- NPI
- 1437140191
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- November 02, 2005
- Last Updated
- July 08, 2007
Practice Location
- 21 Center Street
- Angola, NY 14006
Phone: (716) 549-3111
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1437140191
- Entity Type
- Individual
- Last Name
- Eisen
- First Name
- Bernard
- Middle Name
- M
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 21 Center Street
- Mailing City
- Angola
- Mailing State
- NY
- Mailing ZIP Code
- 14006
- Mailing Country
- US
- Mailing Phone
- (716) 549-3111
- Mailing Fax
- (716) 549-5667
- Practice Street Address
- 21 Center Street
- Practice City
- Angola
- Practice State
- NY
- Practice ZIP Code
- 14006
- Practice Country
- US
- Practice Phone
- (716) 549-3111
- Practice Fax
- (716) 549-5667
- Enumeration Date
- November 02, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 00620562 (NY)