MEDICARE: DR. NORA ELSIE TOWNSEND D.D.S.

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
1	122300000X	Dentist	037388	NY

General Provider Information

NPI Number	:	1164463683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORA ELSIE TOWNSEND D.D.S.

Provider Business Mailing Address
First Line	:	150 HIGH PARK BLVD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-4274
Country	:	US
Telephone Number	:	716-833-6756
Fax Number	:

Provider Business Practice Location Address
First Line	:	646 N FRENCH RD
Second Line	:	SUITE 8
City	:	AMHERST
State	:	NY
Zip	:	14228-2100
Country	:	US
Telephone Number	:	716-691-3520
Fax Number	:	716-691-3742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/08/2007

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