National Provider Identifier
Ellyce Clonan, DDS
Ellyce Clonan, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 829-3332.
Profile Overview
- NPI
- 1619461399
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 18, 2018
- Last Updated
- January 29, 2024
Practice Location
- 3435 Main St
- Buffalo, NY 14214-3099
Phone: (716) 829-3332
Specialties
- General Practice Dentistry (1223G0001X)
- Public Health Dentistry (1223D0001X)
Full Record
- NPI
- 1619461399
- Entity Type
- Individual
- Last Name
- Clonan
- First Name
- Ellyce
- Credential
- DDS
- Mailing Street Address
- 3435 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-3099
- Mailing Country
- US
- Mailing Phone
- (716) 829-3332
- Mailing Fax
- (716) 833-3517
- Practice Street Address
- 3435 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-3099
- Practice Country
- US
- Practice Phone
- (716) 829-3332
- Practice Fax
- (716) 833-3517
- Enumeration Date
- June 18, 2018
- Last Updated
- January 29, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Public Health Dentistry (1223D0001X)