National Provider Identifier
Kerisa Lynne Muffoletto, RDH
Kerisa Lynne Muffoletto, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Buffalo, NY and a listed phone number of (716) 875-2904.
Profile Overview
- NPI
- 1669026365
- Provider Type
- Individual
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- July 31, 2019
- Last Updated
- July 31, 2019
Practice Location
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Phone: (716) 875-2904
Mailing Address
- 5746 Ridge RD
- Lockport, NY 14094-9408
Specialties
- Dental Hygienist (124Q00000X)
Full Record
- NPI
- 1669026365
- Entity Type
- Individual
- Last Name
- Muffoletto
- First Name
- Kerisa
- Middle Name
- Lynne
- Name Prefix
- Mrs.
- Credential
- RDH
- Mailing Street Address
- 5746 Ridge RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-9408
- Mailing Country
- US
- Practice Street Address
- 155 Lawn Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1816
- Practice Country
- US
- Practice Phone
- (716) 875-2904
- Enumeration Date
- July 31, 2019
- Last Updated
- July 31, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Hygienist (124Q00000X)