National Provider Identifier

Tyler Ferguson, DMD

Tyler Ferguson, DMD is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 674-3737.

NPI 1699201772Buffalo, NYDentist

Profile Overview

NPI
1699201772
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
May 10, 2017
Last Updated
January 25, 2021

Practice Location

  • 3811 Seneca St
  • Buffalo, NY 14224-3434

Phone: (716) 674-3737

Mailing Address

  • 462 Grider St
  • Buffalo, NY 14215-3021

Specialties

  • Dentist (122300000X)
Full Record
NPI
1699201772
Entity Type
Individual
Last Name
Ferguson
First Name
Tyler
Credential
DMD
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Practice Street Address
3811 Seneca St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14224-3434
Practice Country
US
Practice Phone
(716) 674-3737
Enumeration Date
May 10, 2017
Last Updated
January 25, 2021
Sex
Male
Sole Proprietor
No
Certification Date
January 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)