National Provider Identifier

Constance Jin Wentworth, D.M.D.

Constance Jin Wentworth, D.M.D. is listed in the NPPES registry with a primary specialty of Endodontics in Williamsville, NY and a listed phone number of (716) 675-6204.

NPI 1710274071Williamsville, NYEndodontics

Profile Overview

NPI
1710274071
Provider Type
Individual
Primary Specialty
Endodontics
Enumeration Date
July 06, 2011
Last Updated
October 02, 2019

Practice Location

  • 19 Limestone Dr Ste 2
  • Williamsville, NY 14221-7091

Phone: (716) 675-6204

Specialties

  • Endodontics (1223E0200X)
Full Record
NPI
1710274071
Entity Type
Individual
Last Name
Wentworth
First Name
Constance
Middle Name
Jin
Name Prefix
Dr.
Credential
D.M.D.
Mailing Street Address
19 Limestone Dr Ste 2
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7091
Mailing Country
US
Mailing Phone
(716) 675-6204
Mailing Fax
(716) 675-4841
Practice Street Address
19 Limestone Dr Ste 2
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7091
Practice Country
US
Practice Phone
(716) 675-6204
Practice Fax
(716) 675-4841
Enumeration Date
July 06, 2011
Last Updated
October 02, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Endodontics (1223E0200X)