SUBURBAN ORTHODONTICS
NPI 1366617250
Dentist - Orthodontics and Dentofacial Orthopedics in Amherst, NY

Active since April 23, 2008
2005 NIAGARA FALLS BLVD, AMHERST, NY 14228(716) 568-8044(716) 649-1516 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suburban Orthodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUBURBAN ORTHODONTICS (NPI 1366617250) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Amherst, New York and active in the NPI registry since April 2008. The organization lists Robert Bavisotto, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1366617250
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSUBURBAN ORTHODONTICS
Location Address2005 NIAGARA FALLS BLVDAmherst, NY 14228-3520
Mailing Address2005 Niagara Falls BlvdAmherst, NY 14228-3520 · (716) 568-8044 · Fax (716) 649-1516
Fax(716) 649-1516
Organization SubpartNo
Authorized OfficialRobert BavisottoOrthodontist · (716) 649-5254
Enumeration DateApril 23, 2008
Last NPPES UpdateNovember 3, 2009
NPI 1366617250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 0321781
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
2005 NIAGARA FALLS BLVD, Amherst, NY 14228

Other Identifiers 1

Medicaid01369268NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
2005 NIAGARA FALLS BLVD
AMHERST, NY 14228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suburban Orthodontics's NPI number?

The NPI number for Suburban Orthodontics is 1366617250. It was assigned to this organization in the NPPES registry on April 23, 2008.

Where is Suburban Orthodontics located?

Suburban Orthodontics is located at 2005 Niagara Falls Blvd, Amherst, NY 14228. The listed phone number is (716) 568-8044.

What is Suburban Orthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Suburban Orthodontics was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.