Healthcare Provider Details

I. General information

NPI: 1568344851
Provider Name (Legal Business Name): CONNOR JAMES DOLCE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 264
BROCTON NY
14716-0264
US

IV. Provider business mailing address

PO BOX 264
BROCTON NY
14716-0264
US

V. Phone/Fax

Practice location:
  • Phone: 716-969-5847
  • Fax:
Mailing address:
  • Phone: 716-969-5847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: