ELMWOOD VILLAGE DENTAL PC
NPI 1659032639
Dentist - General Practice in Buffalo, NY

Active since January 03, 2022
892 ELMWOOD AVE, BUFFALO, NY 14222(716) 332-0460(716) 881-0449 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elmwood Village Dental Pc NPPES

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

ELMWOOD VILLAGE DENTAL PC (NPI 1659032639), doing business as Dr. Bob's Dental Care, is a healthcare organization registered as a general practice in Buffalo, New York and active in the NPI registry since January 2022. The organization lists Deborah Damico, Credentialing Liaison, as its authorized official.

NPPES Registry Identity

NPI1659032639
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELMWOOD VILLAGE DENTAL PC
Location Address892 ELMWOOD AVEBuffalo, NY 14222-1494
Mailing Address2707 Sheridan DrTonawanda, NY 14150-9466 · (716) 646-9423 · Fax (716) 557-7225
Fax(716) 881-0449
Organization SubpartNo
Authorized OfficialDeborah DamicoCredentialing Liaison · (716) 646-9423
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1659032639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

892 ELMWOOD AVE, Buffalo, NY 14222

Other Names 1

Doing Business AsDr. Bob's Dental Care

Other Identifiers 11

Other1124581251NY · Individual Npi
Other1467915165NY · Individual Npi
Other1942677539NY · Individual Npi
Other1235378803NY · Individual Npi
Other1447338686NY · Individual Npi
Other1356918080NY · Individual Npi
Other1295767598NY · Individual Npi
Other1831727882NY · Individual Npi
Other1720471063NY · Individual Npi
Other1154781326NY · Individual Npi
Other1417334293NY · Individual Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
892 ELMWOOD AVE
BUFFALO, NY 14222
Dentist
892 ELMWOOD AVE
BUFFALO, NY 14222
Dentist
892 ELMWOOD AVE
BUFFALO, NY 14222
Dentist (General Practice)
892 ELMWOOD AVE
BUFFALO, NY 14222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659032639, enumerated as an "organization" on January 03, 2022.

The provider is located at 892 ELMWOOD AVE BUFFALO, NY 14222 and the phone number is (716) 332-0460.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.