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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619984515 NPPES
New York MEDICAID 01369268

Popular Providers