Healthcare Provider Details

I. General information

NPI: 1528456761
Provider Name (Legal Business Name): BARBARA MOORE KRULL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA MOORE KRULL DDS

II. Dates (important events)

Enumeration Date: 12/22/2014
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 MAIN ST
BUFFALO NY
14209-2398
US

IV. Provider business mailing address

68 BEYER PL
BUFFALO NY
14210-2654
US

V. Phone/Fax

Practice location:
  • Phone: 716-242-8200
  • Fax:
Mailing address:
  • Phone: 716-868-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number46874
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: