National Provider Identifier

Mark Eugene Trautman, D.D.S.

Mark Eugene Trautman, D.D.S. is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Orchard Park, NY and a listed phone number of (716) 667-3426.

NPI 1932319340Orchard Park, NYPediatric Dentistry

Profile Overview

NPI
1932319340
Provider Type
Individual
Primary Specialty
Pediatric Dentistry
Enumeration Date
May 23, 2007
Last Updated
July 08, 2007

Practice Location

  • 3725 N Buffalo St
  • Orchard Park, NY 14127-1853

Phone: (716) 667-3426

Mailing Address

  • 65 Tillinghast Pl
  • Buffalo, NY 14216-3408

Specialties

  • Pediatric Dentistry (1223P0221X)
Full Record
NPI
1932319340
Entity Type
Individual
Last Name
Trautman
First Name
Mark
Middle Name
Eugene
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
65 Tillinghast Pl
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-3408
Mailing Country
US
Mailing Phone
(716) 835-5502
Practice Street Address
3725 N Buffalo St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1853
Practice Country
US
Practice Phone
(716) 667-3426
Enumeration Date
May 23, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X)