National Provider Identifier

Charles A Marchetta, D.D.S.

Charles A Marchetta, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lancaster, NY and a listed phone number of (716) 683-0891.

NPI 1669547881Lancaster, NYGeneral Practice Dentistry

Profile Overview

NPI
1669547881
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
November 22, 2006
Last Updated
July 09, 2007

Practice Location

  • 5755 Broadway St
  • Lancaster, NY 14086-2357

Phone: (716) 683-0891

Mailing Address

  • 66 Hillcrest RD
  • East Aurora, NY 14052-1312

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1669547881
Entity Type
Individual
Last Name
Marchetta
First Name
Charles
Middle Name
A
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
66 Hillcrest RD
Mailing City
East Aurora
Mailing State
NY
Mailing ZIP Code
14052-1312
Mailing Country
US
Mailing Phone
(716) 652-5543
Practice Street Address
5755 Broadway St
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14086-2357
Practice Country
US
Practice Phone
(716) 683-0891
Enumeration Date
November 22, 2006
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
00613754 (NY)