National Provider Identifier

Lisa Chang, D.D.S.

Lisa Chang, D.D.S. is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 651-0099.

NPI 1811379019Buffalo, NYDentist

Profile Overview

NPI
1811379019
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
June 24, 2015
Last Updated
August 23, 2019

Practice Location

  • 3557 Union RD
  • Buffalo, NY 14225-5123

Phone: (716) 651-0099

Mailing Address

  • 3500 Sheridan Dr # 1548
  • Buffalo, NY 14226-1548

Specialties

  • Dentist (122300000X)
Full Record
NPI
1811379019
Entity Type
Individual
Last Name
Chang
First Name
Lisa
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
3500 Sheridan Dr # 1548
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14226-1548
Mailing Country
US
Mailing Phone
(716) 655-5000
Practice Street Address
3557 Union RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-5123
Practice Country
US
Practice Phone
(716) 651-0099
Enumeration Date
June 24, 2015
Last Updated
August 23, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)
Other Identifiers
04575077 (NY)