Bavisotto, Robert S
Bavisotto, Robert S is an sole proprietor health care provider with primary practice located at 2005 Niagara Falls Blvd , Amherst NY 14228-3520. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bavisotto, Robert S can be contacted via phone (716) 568-8044.Contact Information
Primary practice address
2005 Niagara Falls Blvd
Amherst NY 14228-3520
Phone: (716) 568-8044
Fax: (716) 649-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0321781 | New York |
Profile Details
| NPI number | 1619984515 |
|---|---|
| LBN Legal business name | Bavisotto, Robert S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Nov 3rd, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619984515 | NPPES |
| New York | MEDICAID | 01369268 |
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