National Provider Identifier
Sandra A Whalen, CDA-RDA
Sandra A Whalen, CDA-RDA is listed in the NPPES registry with a primary specialty of Dental Assistant in Lackawanna, NY and a listed phone number of (716) 828-9334.
Profile Overview
- NPI
- 1699932715
- Provider Type
- Individual
- Primary Specialty
- Dental Assistant
- Enumeration Date
- May 16, 2008
- Last Updated
- May 16, 2008
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 828-9334
Mailing Address
- 39 N Shore Dr
- Blasdell, NY 14219-2310
Specialties
- Dental Assistant (126800000X)
- Dental Assistant (126800000X)
Full Record
- NPI
- 1699932715
- Entity Type
- Individual
- Last Name
- Whalen
- First Name
- Sandra
- Middle Name
- A
- Name Prefix
- MS.
- Credential
- CDA-RDA
- Mailing Street Address
- 39 N Shore Dr
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-2310
- Mailing Country
- US
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 828-9334
- Enumeration Date
- May 16, 2008
- Last Updated
- May 16, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Assistant (126800000X), Dental Assistant (126800000X)