National Provider Identifier

Kevin August D Angelo, DDS

Kevin August D Angelo, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lackawanna, NY and a listed phone number of (716) 825-5020.

NPI 1548313323Lackawanna, NYGeneral Practice Dentistry

Profile Overview

NPI
1548313323
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
January 18, 2007
Last Updated
July 08, 2007

Practice Location

  • 1497 Abbott RD
  • Lackawanna, NY 14218-2057

Phone: (716) 825-5020

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1548313323
Entity Type
Individual
Last Name
D Angelo
First Name
Kevin
Middle Name
August
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
1497 Abbott RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-2057
Mailing Country
US
Mailing Phone
(716) 825-5020
Mailing Fax
(716) 823-7115
Practice Street Address
1497 Abbott RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-2057
Practice Country
US
Practice Phone
(716) 825-5020
Practice Fax
(716) 823-7115
Enumeration Date
January 18, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
00858017 (NY)