Provider Demographics
NPI:1083794721
Name:PATERAS, CHRIS K (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:K
Last Name:PATERAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7418 OSWEGO RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-3320
Mailing Address - Country:US
Mailing Address - Phone:315-451-7890
Mailing Address - Fax:315-451-3949
Practice Address - Street 1:7418 OSWEGO RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-3320
Practice Address - Country:US
Practice Address - Phone:315-451-7890
Practice Address - Fax:315-451-3949
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039783-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice