National Provider Identifier
Stephen Pericak, D.D.S.
Stephen Pericak, D.D.S. is listed in the NPPES registry with a primary specialty of Dentist in Silver Creek, NY and a listed phone number of (716) 934-4814.
Profile Overview
- NPI
- 1609099126
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 11, 2007
- Last Updated
- July 08, 2007
Practice Location
- 33 Main St
- Silver Creek, NY 14136-1473
Phone: (716) 934-4814
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1609099126
- Entity Type
- Individual
- Last Name
- Pericak
- First Name
- Stephen
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 33 Main St
- Mailing City
- Silver Creek
- Mailing State
- NY
- Mailing ZIP Code
- 14136-1473
- Mailing Country
- US
- Mailing Phone
- (716) 934-4814
- Practice Street Address
- 33 Main St
- Practice City
- Silver Creek
- Practice State
- NY
- Practice ZIP Code
- 14136-1473
- Practice Country
- US
- Practice Phone
- (716) 934-4814
- Enumeration Date
- April 11, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)