| Dr. Bob's Dental Care | |
|
2727 Main St Buffalo NY 14214-1701 | |
| (716) 833-2727 | |
| (716) 833-2729 |
| Full Name | Dr. Bob's Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2727 Main St, Buffalo, New York |
| Authorized Official Name and Position | Robert Lacarrubba (DENTIST/OWNER) |
| Authorized Official Contact | 7168332727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Bob's Dental Care 2727 Main St Buffalo NY 14214-1701 Ph: (716) 833-2727 | Dr. Bob's Dental Care 2727 Main St Buffalo NY 14214-1701 Ph: (716) 833-2727 |
| NPI Number | 1396186912 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 10/12/2016 |
| Medicare PECOS PAC ID | 8224318258 |
|---|---|
| Medicare Enrollment ID | O20161209000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396186912 | NPI | - | NPPES |
| Provider Name | Robert J Lacarrubba |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295767598 PECOS PAC ID: 4981990959 Enrollment ID: I20161209000941 |
| Provider Name | Michelle X Mai |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336450550 PECOS PAC ID: 2365759099 Enrollment ID: I20170117001194 |
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