National Provider Identifier
Caitlin Irene Embury, D.D.S.
Caitlin Irene Embury, D.D.S. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Blasdell, NY and a listed phone number of (716) 649-1307.
Profile Overview
- NPI
- 1871939157
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 14, 2013
- Last Updated
- December 18, 2015
Practice Location
- 3860 McKinley Pkway
- Suite 200
- Blasdell, NY 14219
Phone: (716) 649-1307
Mailing Address
- 3860 McKinley Parkway
- Suite 200
- Blasdell, NY 14219
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1871939157
- Entity Type
- Individual
- Last Name
- Embury
- First Name
- Caitlin
- Middle Name
- Irene
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Provider Other Last Name
- Kruczek
- Provider Other First Name
- Caitlin
- Provider Other Middle Name
- Irene
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- D.D.S.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3860 McKinley Parkway
- Mailing Address Line 2
- Suite 200
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219
- Mailing Country
- US
- Mailing Phone
- (716) 649-1307
- Practice Street Address
- 3860 McKinley Pkway
- Practice Address Line 2
- Suite 200
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219
- Practice Country
- US
- Practice Phone
- (716) 649-1307
- Enumeration Date
- May 14, 2013
- Last Updated
- December 18, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)