National Provider Identifier

Robert S Bavisotto, DDS

Robert S Bavisotto, DDS is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Amherst, NY and a listed phone number of (716) 568-8044.

NPI 1619984515Amherst, NYOrthodontics and Dentofacial Orthopedics Dentistry

Profile Overview

NPI
1619984515
Provider Type
Individual
Primary Specialty
Orthodontics and Dentofacial Orthopedics Dentistry
Enumeration Date
August 02, 2006
Last Updated
November 03, 2009

Practice Location

  • 2005 Niagara Falls Blvd
  • Amherst, NY 14228-3520

Phone: (716) 568-8044

Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
NPI
1619984515
Entity Type
Individual
Last Name
Bavisotto
First Name
Robert
Middle Name
S
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
2005 Niagara Falls Blvd
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-3520
Mailing Country
US
Mailing Phone
(716) 568-8044
Mailing Fax
(716) 649-1516
Practice Street Address
2005 Niagara Falls Blvd
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14228-3520
Practice Country
US
Practice Phone
(716) 568-8044
Practice Fax
(716) 649-1516
Enumeration Date
August 02, 2006
Last Updated
November 03, 2009
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Other Identifiers
01369268 (NY)