National Provider Identifier

Jerald Kasimov, DDS

Jerald Kasimov, DDS is listed in the NPPES registry with a primary specialty of Dentist in Getzville, NY and a listed phone number of (716) 636-8686.

NPI 1841419520Getzville, NYDentist

Profile Overview

NPI
1841419520
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
April 24, 2007
Last Updated
July 08, 2007

Practice Location

  • 2430 N Forest RD
  • Getzville, NY 14068-1535

Phone: (716) 636-8686

Mailing Address

  • 88 Penhurst Park
  • Buffalo, NY 14222-1014

Specialties

  • Dentist (122300000X)
Full Record
NPI
1841419520
Entity Type
Individual
Last Name
Kasimov
First Name
Jerald
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
88 Penhurst Park
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-1014
Mailing Country
US
Mailing Phone
(716) 883-7185
Practice Street Address
2430 N Forest RD
Practice City
Getzville
Practice State
NY
Practice ZIP Code
14068-1535
Practice Country
US
Practice Phone
(716) 636-8686
Practice Fax
(716) 636-8669
Enumeration Date
April 24, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)