Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MYRON R BUCHOLTZ D.M.D.
NPI 1720077183
Dentist - General Practice in Waverly, NY

Q: What is Myron Bucholtz's NPI number?

The NPI number for Myron Bucholtz is 1720077183. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Myron Bucholtz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Myron Bucholtz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since October 18, 2005

463 FULTON ST, WAVERLY, NY 14892(607) 565-4374(607) 565-7438 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Myron R Bucholtz D.m.d. NPPES

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

DR. MYRON R BUCHOLTZ D.M.D. (NPI 1720077183) is an individual general practice provider in Waverly, New York, licensed in New York (024380) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1720077183

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MYRON R BUCHOLTZCredential: D.M.D.

Location Address463 FULTON STWaverly, NY 14892-1312

Mailing Address463 Fulton StWaverly, NY 14892-1312 · (607) 565-4374 · Fax (607) 565-7438

Phone(607) 565-4374

Fax(607) 565-7438

Sole ProprietorNo

Enumeration DateOctober 18, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1720077183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 024380

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.

463 FULTON ST, Waverly, NY 14892

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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 Myron Bucholtz's NPI number?

The NPI number for Myron Bucholtz is 1720077183. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Myron Bucholtz located?

Myron Bucholtz practices at 463 Fulton St, Waverly, NY 14892. The listed phone number is (607) 565-4374.

What is Myron Bucholtz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Myron Bucholtz was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.