National Provider Identifier

Bruce T Ridolfo, DMD

Bruce T Ridolfo, DMD is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Orchard Park, NY and a listed phone number of (716) 662-9341.

NPI 1437195443Orchard Park, NYOral and Maxillofacial Surgery (Dentist)

Profile Overview

NPI
1437195443
Provider Type
Individual
Primary Specialty
Oral and Maxillofacial Surgery (Dentist)
Enumeration Date
June 20, 2006
Last Updated
July 08, 2007

Practice Location

  • 6576 E Quaker St
  • Orchard Park, NY 14127-2502

Phone: (716) 662-9341

Mailing Address

  • 124 Rivermist Dr
  • Buffalo, NY 14202-4300

Specialties

  • Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
NPI
1437195443
Entity Type
Individual
Last Name
Ridolfo
First Name
Bruce
Middle Name
T
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
124 Rivermist Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-4300
Mailing Country
US
Mailing Phone
(716) 854-1270
Practice Street Address
6576 E Quaker St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2502
Practice Country
US
Practice Phone
(716) 662-9341
Practice Fax
(716) 662-0317
Enumeration Date
June 20, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Oral and Maxillofacial Surgery (Dentist) (1223S0112X)