Dysert, Andrea Bernadette

Dysert, Andrea Bernadette is an individual health care provider with primary practice located at 155 Lawn Ave , Buffalo NY 14207-1816. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dysert, Andrea Bernadette can be contacted via phone (716) 875-2904.

Contact Information

Primary practice address
155 Lawn Ave Buffalo NY 14207-1816
Fax: (716) 875-6717
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 028591 New York

Profile Details

NPI number 1275215121
LBN Legal business name Dysert, Andrea Bernadette
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2023
Last updated Aug 1st, 2023 - about 2 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.

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