| Sean Wurster, DMD | |
|
987 R C Hoag Dr, Salamanca, NY 14779-1365 | |
| (716) 945-5894 | |
| (716) 242-6345 |
| Full Name | Sean Wurster |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 987 R C Hoag Dr, Salamanca, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740857861 | NPI | - | NPPES |
| 07402422 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 062724 (New York) | Primary |
| Entity Name | Seneca Nation Of Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Wurster, DMD 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 | Sean Wurster, DMD 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 |
Scott D Winokur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 987 R C Hoag Dr, Lionel R John Health Center, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-945-5889 | |
J Nicholas Porcello, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Lionel R. John Health Center, 987 Rc Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-945-5889 | |
Dr. Stephen J Illig, DDS Dentist Medicare: Medicare Enrolled Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-242-6345 | |
Dr. Peter C Perez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 288 Central Ave, Salamanca, NY 14779 Phone: 716-945-3686 |