Provider Demographics
NPI:1225291305
Name:BHANDARI, AMAR RAMESH (DDS MD)
Entity Type:Individual
Prefix:DR
First Name:AMAR
Middle Name:RAMESH
Last Name:BHANDARI
Suffix:
Gender:M
Credentials:DDS MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PLAZA DRIVE
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850
Mailing Address - Country:US
Mailing Address - Phone:607-729-7600
Mailing Address - Fax:607-729-7601
Practice Address - Street 1:112 PLAZA DRIVE
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850
Practice Address - Country:US
Practice Address - Phone:607-729-7600
Practice Address - Fax:607-729-7601
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2011-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052042204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery