National Provider Identifier

Western New York Dental Group,PC

Western New York Dental Group,PC is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Boston, NY and a listed phone number of (716) 941-5352.

NPI 1992878086Boston, NYGeneral Practice Dentistry

Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1992878086
Provider Type
Organization
Primary Specialty
General Practice Dentistry
Enumeration Date
November 16, 2006
Last Updated
August 22, 2020

Practice Location

  • 9290 Boston State RD
  • Boston, NY 14025-9604

Phone: (716) 941-5352

Mailing Address

  • 125 Lawrence Bell Dr
  • Suite 102
  • Williamsville, NY 14221-7817

Authorized Official

Name
Dr. Michael D. Ehlers
Title
Owner
Credentials
D.D.S.
Phone
(716) 941-5352

Specialties

  • General Practice Dentistry (1223G0001X)

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Full Record
NPI
1992878086
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Western New York Dental Group,PC
Mailing Street Address
125 Lawrence Bell Dr
Mailing Address Line 2
Suite 102
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7817
Mailing Country
US
Mailing Phone
(716) 634-4679
Mailing Fax
(716) 634-5415
Practice Street Address
9290 Boston State RD
Practice City
Boston
Practice State
NY
Practice ZIP Code
14025-9604
Practice Country
US
Practice Phone
(716) 941-5352
Practice Fax
(716) 941-5566
Enumeration Date
November 16, 2006
Last Updated
August 22, 2020
Authorized Official Last Name
Ehlers
Authorized Official First Name
Michael
Authorized Official Middle Name
D.
Authorized Official Title
Owner
Authorized Official Phone
(716) 941-5352
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
D.D.S.
Taxonomy Group 1
193400000X Multiple Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)