Healthcare Provider Details

I. General information

NPI: 1972925287
Provider Name (Legal Business Name): BRETT THOMAS CHIQUET DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 MAIN ST
BUFFALO NY
14214-3099
US

IV. Provider business mailing address

3435 MAIN ST
BUFFALO NY
14214-3099
US

V. Phone/Fax

Practice location:
  • Phone: 716-829-5467
  • Fax:
Mailing address:
  • Phone: 716-829-5467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number065150
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number29442
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: