Provider Demographics
NPI:1134648017
Name:JOHN B. CART, DDS, PLLC
Entity Type:Organization
Organization Name:JOHN B. CART, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:BRISTOW
Authorized Official - Last Name:CART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-884-5909
Mailing Address - Street 1:172 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2206
Mailing Address - Country:US
Mailing Address - Phone:716-884-5909
Mailing Address - Fax:716-882-8445
Practice Address - Street 1:172 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2206
Practice Address - Country:US
Practice Address - Phone:716-884-5909
Practice Address - Fax:716-882-8445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33608261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental