National Provider Identifier
Richard Alan Etengoff, DDS
Richard Alan Etengoff, DDS is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Buffalo, NY and a listed phone number of (716) 877-5941.
Profile Overview
- NPI
- 1841486412
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- September 18, 2007
- Last Updated
- September 18, 2007
Practice Location
- 1241 Colvin Ave
- Buffalo, NY 14223
Phone: (716) 877-5941
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1841486412
- Entity Type
- Individual
- Last Name
- Etengoff
- First Name
- Richard
- Middle Name
- Alan
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 1241 Colvin Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223
- Mailing Country
- US
- Mailing Phone
- (716) 877-5941
- Mailing Fax
- (716) 877-8409
- Practice Street Address
- 1241 Colvin Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223
- Practice Country
- US
- Practice Phone
- (716) 877-5941
- Practice Fax
- (716) 877-8409
- Enumeration Date
- September 18, 2007
- Last Updated
- September 18, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
- Other Identifiers
- 00695001 (NY)