MEDICARE: WESTERN NEW YORK DENTAL GROUP,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	039829	NY

General Provider Information

NPI Number	:	1992878086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN NEW YORK DENTAL GROUP,PC

Provider Business Mailing Address
First Line	:	125 LAWRENCE BELL DR
Second Line	:	SUITE 102
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7817
Country	:	US
Telephone Number	:	716-634-4679
Fax Number	:	716-634-5415

Provider Business Practice Location Address
First Line	:	9290 BOSTON STATE RD
Second Line	:
City	:	BOSTON
State	:	NY
Zip	:	14025-9604
Country	:	US
Telephone Number	:	716-941-5352
Fax Number	:	716-941-5566

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL D. EHLERS
Credential	:	D.D.S.
Telephone Number	:	716-941-5352

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1265442347 — DR. BERNARD J MICHAELS DDS
Practice Location Address:

9290 BOSTON STATE RD
BOSTON, NY
14025-9604

Practice Phone: 716-941-5352
Practice Fax: 716-941-5566

1558561308 — DR. PHANITH LEANG LIM D.D.S.
Practice Location Address:

9290 BOSTON STATE RD
BOSTON, NY
14025-9604

Practice Phone: 716-941-5352
Practice Fax:

1306859483 — CHARLES ALAN MATLACH
Practice Location Address:

8397 BOSTON STATE RD
BOSTON, NY
14025-9651

Practice Phone: 716-941-5433
Practice Fax: 716-941-5972

1013086164 — DR. CHARLES JOSEPH HORNBERGER SR. OD
Practice Location Address:

8425 BOSTON STATE ROAD
BOSTON, NY
14025

Practice Phone: 716-941-5585
Practice Fax: 716-941-9281

1669513842 — ROBERT MOYNIHAN
Practice Location Address:

8397 BOSTON STATE RD
BOSTON, NY
14025-9651

Practice Phone: 716-941-5433
Practice Fax:

Directions to “WESTERN NEW YORK DENTAL GROUP,PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.