National Provider Identifier

Fred Rodems, DDS

Fred Rodems, DDS is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in West Seneca, NY and a listed phone number of (716) 675-9777.

NPI 1497799647West Seneca, NYOral and Maxillofacial Surgery (Dentist)

Profile Overview

NPI
1497799647
Provider Type
Individual
Primary Specialty
Oral and Maxillofacial Surgery (Dentist)
Enumeration Date
June 16, 2006
Last Updated
January 22, 2015

Practice Location

  • 1947 Ridge RD
  • West Seneca, NY 14224-3339

Phone: (716) 675-9777

Mailing Address

  • 22 S Buffalo St
  • Springville, NY 14141-1239

Specialties

  • Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
NPI
1497799647
Entity Type
Individual
Last Name
Rodems
First Name
Fred
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
22 S Buffalo St
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141-1239
Mailing Country
US
Mailing Phone
(716) 592-9269
Practice Street Address
1947 Ridge RD
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3339
Practice Country
US
Practice Phone
(716) 675-9777
Enumeration Date
June 16, 2006
Last Updated
January 22, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Other Identifiers
00832155 (NY), 00020919401 (NY, Univera Healthcare)