National Provider Identifier
Jay Richard Van Dusen, D.D.S.
Jay Richard Van Dusen, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Silver Creek, NY and a listed phone number of (716) 934-4814.
Profile Overview
- NPI
- 1477797637
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- April 30, 2009
- Last Updated
- July 23, 2014
Practice Location
- 33 Main St
- Silver Creek, NY 14136-1473
Phone: (716) 934-4814
Mailing Address
- 4137 Calkins RD
- Youngstown, NY 14174-9718
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1477797637
- Entity Type
- Individual
- Last Name
- Van Dusen
- First Name
- Jay
- Middle Name
- Richard
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 4137 Calkins RD
- Mailing City
- Youngstown
- Mailing State
- NY
- Mailing ZIP Code
- 14174-9718
- Mailing Country
- US
- Mailing Phone
- (716) 940-4545
- Practice Street Address
- 33 Main St
- Practice City
- Silver Creek
- Practice State
- NY
- Practice ZIP Code
- 14136-1473
- Practice Country
- US
- Practice Phone
- (716) 934-4814
- Enumeration Date
- April 30, 2009
- Last Updated
- July 23, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)