National Provider Identifier

Michael Pantera, DDS

Michael Pantera, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Angola, NY and a listed phone number of (716) 549-3704.

NPI 1942298203Angola, NYGeneral Practice Dentistry

Profile Overview

NPI
1942298203
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 11, 2005
Last Updated
July 08, 2007

Practice Location

  • 905 Lake St
  • Angola, NY 14006-9281

Phone: (716) 549-3704

Mailing Address

  • PO Box 271
  • 905 Lake St
  • Angola, NY 14006-0271

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1942298203
Entity Type
Individual
Last Name
Pantera
First Name
Michael
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
PO Box 271
Mailing Address Line 2
905 Lake St
Mailing City
Angola
Mailing State
NY
Mailing ZIP Code
14006-0271
Mailing Country
US
Mailing Phone
(716) 549-3704
Practice Street Address
905 Lake St
Practice City
Angola
Practice State
NY
Practice ZIP Code
14006-9281
Practice Country
US
Practice Phone
(716) 549-3704
Enumeration Date
October 11, 2005
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
00792127 (NY)