National Provider Identifier
Kathleen Mary Nowak, D.D.S.
Kathleen Mary Nowak, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Hamburg, NY and a listed phone number of (716) 649-2014.
Profile Overview
- NPI
- 1629173885
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- September 13, 2006
- Last Updated
- July 08, 2007
Practice Location
- 4176 Legion Dr
- Hamburg, NY 14075-4510
Phone: (716) 649-2014
Mailing Address
- 4176 Legion Dr
- P.O. Box 821
- Hamburg, NY 14075-4510
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1629173885
- Entity Type
- Individual
- Last Name
- Nowak
- First Name
- Kathleen
- Middle Name
- Mary
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 4176 Legion Dr
- Mailing Address Line 2
- P.O. Box 821
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4510
- Mailing Country
- US
- Mailing Phone
- (716) 649-2014
- Mailing Fax
- (716) 649-3140
- Practice Street Address
- 4176 Legion Dr
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-4510
- Practice Country
- US
- Practice Phone
- (716) 649-2014
- Practice Fax
- (716) 649-3140
- Enumeration Date
- September 13, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)