National Provider Identifier

Mary Candace Collard, DDS

Mary Candace Collard, DDS is listed in the NPPES registry with a primary specialty of Dentist in Williamsville, NY and a listed phone number of (716) 633-6131.

NPI 1467498048Williamsville, NYDentist

Profile Overview

NPI
1467498048
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
June 21, 2006
Last Updated
July 08, 2007

Practice Location

  • 6490 Main Street
  • Suite #5
  • Williamsville, NY 14221-5853

Phone: (716) 633-6131

Specialties

  • Dentist (122300000X)
Full Record
NPI
1467498048
Entity Type
Individual
Last Name
Collard
First Name
Mary
Middle Name
Candace
Credential
DDS
Provider Other Last Name
Collard
Provider Other First Name
M
Provider Other Middle Name
Candace
Provider Other Last Name Type Code
2
Mailing Street Address
6490 Main Street
Mailing Address Line 2
Suite #5
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5853
Mailing Country
US
Mailing Phone
(716) 633-6131
Mailing Fax
(716) 633-0086
Practice Street Address
6490 Main Street
Practice Address Line 2
Suite #5
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5853
Practice Country
US
Practice Phone
(716) 633-6131
Practice Fax
(716) 633-0086
Enumeration Date
June 21, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)