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NPI Code Detail

MEDICARE: DR. DALE EDWIN VOELKER DDS

MEDICARE: DR. DALE EDWIN VOELKER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry032331NY

General Provider Information

NPI Number : 1154344679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALE EDWIN VOELKER DDS
Provider Business Mailing Address
First Line : 1050 OLIVER ST
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-2653
Country : US
Telephone Number : 716-693-0600
Fax Number : 716-743-8477
Provider Business Practice Location Address
First Line : 1050 OLIVER ST
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-2653
Country : US
Telephone Number : 716-693-0600
Fax Number : 716-743-8477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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