National Provider Identifier

Mark Wierzba, DENTIST

Mark Wierzba, DENTIST is listed in the NPPES registry with a primary specialty of Dentist in Cheektowaga, NY and a listed phone number of (716) 684-8882.

NPI 1972627115Cheektowaga, NYDentist

Profile Overview

NPI
1972627115
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
March 16, 2007
Last Updated
July 08, 2007

Practice Location

  • 750 Dick Road
  • Dr Gambacorta & Dental Associates
  • Cheektowaga, NY 14225-3848

Phone: (716) 684-8882

Specialties

  • Dentist (122300000X)
Full Record
NPI
1972627115
Entity Type
Individual
Last Name
Wierzba
First Name
Mark
Name Prefix
Dr.
Credential
DENTIST
Mailing Street Address
750 Dick Road
Mailing Address Line 2
Dr Gambacorta & Dental Associates
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-3848
Mailing Country
US
Mailing Phone
(716) 684-8882
Mailing Fax
(716) 651-0110
Practice Street Address
750 Dick Road
Practice Address Line 2
Dr Gambacorta & Dental Associates
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-3848
Practice Country
US
Practice Phone
(716) 684-8882
Practice Fax
(716) 651-0110
Enumeration Date
March 16, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)