National Provider Identifier

Casey Depauw

Casey Depauw is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 828-2295.

NPI 1700495272Buffalo, NYDentist

Profile Overview

NPI
1700495272
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
July 30, 2020
Last Updated
July 30, 2020

Practice Location

  • 1066 Abbott RD # 1
  • Buffalo, NY 14220-2756

Phone: (716) 828-2295

Mailing Address

  • 81 Richfield Ave
  • Buffalo, NY 14220-1914

Specialties

  • Dentist (122300000X)
Full Record
NPI
1700495272
Entity Type
Individual
Last Name
Depauw
First Name
Casey
Name Prefix
Dr.
Mailing Street Address
81 Richfield Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-1914
Mailing Country
US
Mailing Phone
(315) 573-6355
Practice Street Address
1066 Abbott RD # 1
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-2756
Practice Country
US
Practice Phone
(716) 828-2295
Enumeration Date
July 30, 2020
Last Updated
July 30, 2020
Sex
Female
Sole Proprietor
No
Certification Date
July 30, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)