MEDICARE: SATURNINO DENTAL PC

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	1223G0001X	General Practice Dentistry	042448	NY

General Provider Information

NPI Number	:	1922125111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SATURNINO DENTAL PC

Provider Business Mailing Address
First Line	:	2001 NIAGARA FALLS BLVD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228
Country	:	US
Telephone Number	:	716-691-3900
Fax Number	:	716-691-3916

Provider Business Practice Location Address
First Line	:	2001 NIAGARA FALLS BLVD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14228
Country	:	US
Telephone Number	:	716-691-3900
Fax Number	:	716-691-3916

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOUGLAS G SATURNINO
Credential	:	DDS
Telephone Number	:	716-691-3900

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	08/22/2020

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