National Provider Identifier
Joseph Samuel Modica Jr., DDS
Joseph Samuel Modica Jr., DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Williamsville, NY and a listed phone number of (716) 634-1333.
Profile Overview
- NPI
- 1568486314
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- July 26, 2006
- Last Updated
- July 08, 2007
Practice Location
- 150 Maple RD
- Williamsville, NY 14221-2930
Phone: (716) 634-1333
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1568486314
- Entity Type
- Individual
- Last Name
- Modica
- First Name
- Joseph
- Middle Name
- Samuel
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- DDS
- Mailing Street Address
- 150 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2930
- Mailing Country
- US
- Mailing Phone
- (716) 634-1333
- Mailing Fax
- (716) 634-6828
- Practice Street Address
- 150 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2930
- Practice Country
- US
- Practice Phone
- (716) 634-1333
- Practice Fax
- (716) 634-6828
- Enumeration Date
- July 26, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)