National Provider Identifier
Myra N Caballero, D.D.S.
Myra N Caballero, D.D.S. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-1686.
Profile Overview
- NPI
- 1447816038
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 20, 2019
- Last Updated
- January 27, 2020
Practice Location
- 462 Grider Street Erie County Medical Center,
- Suite 150
- Buffalo, NY 14215
Phone: (716) 898-1686
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1447816038
- Entity Type
- Individual
- Last Name
- Caballero
- First Name
- Myra
- Middle Name
- N
- Name Prefix
- MS.
- Credential
- D.D.S.
- Mailing Street Address
- 462 Grider Street Erie County Medical Center,
- Mailing Address Line 2
- Suite 150
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215
- Mailing Country
- US
- Mailing Phone
- (716) 898-1686
- Mailing Fax
- (716) 845-6699
- Practice Street Address
- 462 Grider Street Erie County Medical Center,
- Practice Address Line 2
- Suite 150
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 898-1686
- Practice Fax
- (716) 845-6699
- Enumeration Date
- May 20, 2019
- Last Updated
- January 27, 2020
- Deactivation Date
- January 13, 2020
- Reactivation Date
- January 27, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 27, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)