National Provider Identifier

Thaddeus Paul Pantera, DDS, FAGD

Thaddeus Paul Pantera, DDS, FAGD is listed in the NPPES registry with a primary specialty of Dentist in Cheektowaga, NY and a listed phone number of (716) 681-1337.

NPI 1730215849Cheektowaga, NYDentist

Profile Overview

NPI
1730215849
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
February 25, 2007
Last Updated
July 08, 2007

Practice Location

  • 1265 George Urban Blvd
  • Cheektowaga, NY 14225-3805

Phone: (716) 681-1337

Specialties

  • Dentist (122300000X)
Full Record
NPI
1730215849
Entity Type
Individual
Last Name
Pantera
First Name
Thaddeus
Middle Name
Paul
Name Prefix
Dr.
Credential
DDS, FAGD
Mailing Street Address
1265 George Urban Blvd
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-3805
Mailing Country
US
Mailing Phone
(716) 681-1337
Practice Street Address
1265 George Urban Blvd
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-3805
Practice Country
US
Practice Phone
(716) 681-1337
Enumeration Date
February 25, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)