National Provider Identifier
Michael Leo Domboski, D.M.D.
Michael Leo Domboski, D.M.D. is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Olean, NY and a listed phone number of (716) 375-7300.
Profile Overview
- NPI
- 1821322249
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- October 01, 2009
- Last Updated
- October 01, 2009
Practice Location
- 623 Main St
- Olean, NY 14760-1532
Phone: (716) 375-7300
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1821322249
- Entity Type
- Individual
- Last Name
- Domboski
- First Name
- Michael
- Middle Name
- Leo
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 623 Main St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1532
- Mailing Country
- US
- Mailing Phone
- (716) 375-7300
- Practice Street Address
- 623 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1532
- Practice Country
- US
- Practice Phone
- (716) 375-7300
- Enumeration Date
- October 01, 2009
- Last Updated
- October 01, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)