National Provider Identifier
Anthony J Domenico, DDS
Anthony J Domenico, DDS is listed in the NPPES registry with a primary specialty of Endodontics in Williamsville, NY and a listed phone number of (716) 634-4121.
Profile Overview
- NPI
- 1720118219
- Provider Type
- Individual
- Primary Specialty
- Endodontics
- Enumeration Date
- March 06, 2007
- Last Updated
- July 08, 2007
Practice Location
- 5353 Main St
- Williamsville, NY 14221-5337
Phone: (716) 634-4121
Specialties
- Endodontics (1223E0200X)
Full Record
- NPI
- 1720118219
- Entity Type
- Individual
- Last Name
- Domenico
- First Name
- Anthony
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 5353 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5337
- Mailing Country
- US
- Mailing Phone
- (716) 634-4121
- Mailing Fax
- (716) 634-7857
- Practice Street Address
- 5353 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5337
- Practice Country
- US
- Practice Phone
- (716) 634-4121
- Practice Fax
- (716) 634-7857
- Enumeration Date
- March 06, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Endodontics (1223E0200X)