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NPI Code Detail

MEDICARE: DR. PAUL ANTHONY BARGNESI DDS

MEDICARE: DR. PAUL ANTHONY BARGNESI 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 Dentistry974110836NY

General Provider Information

NPI Number : 1558209015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ANTHONY BARGNESI DDS
Provider Business Mailing Address
First Line : 5001 TRANSIT RD UNIT 824
Second Line :
City : DEPEW
State : NY
Zip : 14043-4675
Country : US
Telephone Number : 716-901-4471
Fax Number :
Provider Business Practice Location Address
First Line : 462 GRIDER ST
Second Line :
City : BUFFALO
State : NY
Zip : 14215-3098
Country : US
Telephone Number : 716-898-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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