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General NPI Number Information
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NPI Number | 1477168052
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Entity Type | Organization
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Legal Business Name | BUFFALO IMPLANTS AND PERIODONTICS PLLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 1050 FRENCH RD
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City | CHEEKTOWAGA
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State | NY
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Zip | 14227-3750
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Country | US
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Telephone | 716-668-2889
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Fax |
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Provider Business Mailing Address
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Address Line | 4380 WESTWOOD RD
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City | BUFFALO
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State | NY
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Zip | 14221-6141
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Country | US
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Telephone | 716-907-1403
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. KUMAR NEPPALLI
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Credential | DDS
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Telephone | 716-907-1403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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