| Western New York Dental Group,pc | |
|
9290 Boston State Rd Boston NY 14025-9604 | |
| (716) 941-5352 | |
| (716) 941-5566 |
| Full Name | Western New York Dental Group,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9290 Boston State Rd, Boston, New York |
| Authorized Official Name and Position | Michael D. Ehlers (OWNER) |
| Authorized Official Contact | 7169415352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western New York Dental Group,pc 125 Lawrence Bell Dr Suite 102 Williamsville NY 14221-7817 Ph: (716) 634-4679 | Western New York Dental Group,pc 9290 Boston State Rd Boston NY 14025-9604 Ph: (716) 941-5352 |
| NPI Number | 1992878086 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992878086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 039829 (New York) | Primary |
Boston Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8397 Boston State Rd, Boston, NY 14025 Phone: 716-941-5433 |