National Provider Identifier

Michael Francis Gengo, DDS

Michael Francis Gengo, DDS is listed in the NPPES registry with a primary specialty of Endodontics in Hamburg, NY and a listed phone number of (716) 815-3636.

NPI 1508242231Hamburg, NYEndodontics

Profile Overview

NPI
1508242231
Provider Type
Individual
Primary Specialty
Endodontics
Enumeration Date
August 04, 2015
Last Updated
July 12, 2021

Practice Location

  • 4001 Legion Dr
  • Hamburg, NY 14075-4507

Phone: (716) 815-3636

Specialties

  • Endodontics (1223E0200X)
Full Record
NPI
1508242231
Entity Type
Individual
Last Name
Gengo
First Name
Michael
Middle Name
Francis
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
4001 Legion Dr
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-4507
Mailing Country
US
Mailing Phone
(716) 553-3861
Practice Street Address
4001 Legion Dr
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-4507
Practice Country
US
Practice Phone
(716) 815-3636
Practice Fax
(716) 815-3637
Enumeration Date
August 04, 2015
Last Updated
July 12, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
July 12, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Endodontics (1223E0200X)