National Provider Identifier
Bethany Rose Mattina-Chmiel, DDS
Bethany Rose Mattina-Chmiel, DDS is listed in the NPPES registry with a primary specialty of Dentist in Orchard Park, NY and a listed phone number of (716) 332-2444.
Profile Overview
- NPI
- 1700494051
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- July 22, 2020
- Last Updated
- October 22, 2021
Practice Location
- 3364 Southwestern Blvd
- Orchard Park, NY 14127-1524
Phone: (716) 332-2444
Specialties
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1700494051
- Entity Type
- Individual
- Last Name
- Mattina-Chmiel
- First Name
- Bethany
- Middle Name
- Rose
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 3364 Southwestern Blvd
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1524
- Mailing Country
- US
- Mailing Phone
- (716) 332-2444
- Practice Street Address
- 3364 Southwestern Blvd
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1524
- Practice Country
- US
- Practice Phone
- (716) 332-2444
- Enumeration Date
- July 22, 2020
- Last Updated
- October 22, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)