National Provider Identifier

Thomas Anthony Balcerak, DDS

Thomas Anthony Balcerak, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Kenmore, NY and a listed phone number of (716) 877-2275.

NPI 1710071790Kenmore, NYGeneral Practice Dentistry

Profile Overview

NPI
1710071790
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 03, 2006
Last Updated
July 08, 2007

Practice Location

  • 2887 Elmwood Ave
  • Kenmore, NY 14217-1326

Phone: (716) 877-2275

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1710071790
Entity Type
Individual
Last Name
Balcerak
First Name
Thomas
Middle Name
Anthony
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
2887 Elmwood Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1326
Mailing Country
US
Mailing Phone
(716) 877-2275
Practice Street Address
2887 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1326
Practice Country
US
Practice Phone
(716) 877-2275
Enumeration Date
October 03, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)