National Provider Identifier

Jason Walter Ciano, DDS, MPH

Jason Walter Ciano, DDS, MPH is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lackawanna, NY and a listed phone number of (716) 828-9334.

NPI 1558045328Lackawanna, NYGeneral Practice Dentistry

Profile Overview

NPI
1558045328
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
June 12, 2023
Last Updated
March 12, 2025

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 828-9334

Mailing Address

  • 11 Creekside Ave
  • Buffalo, NY 14218-3547

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1558045328
Entity Type
Individual
Last Name
Ciano
First Name
Jason
Middle Name
Walter
Name Prefix
Dr.
Credential
DDS, MPH
Mailing Street Address
11 Creekside Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14218-3547
Mailing Country
US
Mailing Phone
(516) 732-5944
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-9334
Enumeration Date
June 12, 2023
Last Updated
March 12, 2025
Sex
Male
Sole Proprietor
No
Certification Date
March 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)