DR. LISA MARIE MRUZ D.D.S
NPI 1609935998
Dentist - Pediatric Dentistry in Buffalo, NY

Active since December 06, 2006
1100 MAIN ST, BUFFALO, NY 14209(716) 242-8200 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lisa Marie Mruz D.d.s NPPES

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

DR. LISA MARIE MRUZ D.D.S (NPI 1609935998) is an individual pediatric dentistry provider in Buffalo, New York, licensed in New York (047284-1) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1609935998
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LISA MARIE MRUZCredential: D.D.S
Location Address1100 MAIN STBuffalo, NY 14209-2308
Mailing Address1100 Main StBuffalo, NY 14209-2308 · (716) 242-8200
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateOctober 10, 2012
NPI 1609935998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 047284-1
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1100 MAIN ST, Buffalo, NY 14209

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209
Dentist (Pediatric Dentistry)
1100 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1100 MAIN ST
BUFFALO, NY 14209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609935998, enumerated as an "individual" on December 06, 2006.

The provider is located at 1100 MAIN ST BUFFALO, NY 14209 and the phone number is (716) 242-8200.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.