National Provider Identifier

Mira Edgerton, DDS

Mira Edgerton, DDS is listed in the NPPES registry with a primary specialty of Prosthodontics in Amherst, NY and a listed phone number of (716) 836-7250.

NPI 1851605117Amherst, NYProsthodontics

Profile Overview

NPI
1851605117
Provider Type
Individual
Primary Specialty
Prosthodontics
Enumeration Date
July 28, 2010
Last Updated
July 28, 2010

Practice Location

  • 3951 Main St
  • Amherst, NY 14226-3401

Phone: (716) 836-7250

Specialties

  • Prosthodontics (1223P0700X)
Full Record
NPI
1851605117
Entity Type
Individual
Last Name
Edgerton
First Name
Mira
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
3951 Main St
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3401
Mailing Country
US
Mailing Phone
(716) 836-7250
Practice Street Address
3951 Main St
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3401
Practice Country
US
Practice Phone
(716) 836-7250
Enumeration Date
July 28, 2010
Last Updated
July 28, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Prosthodontics (1223P0700X)