Provider Demographics
NPI:1326129073
Name:DOLINAR, DANIEL P (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:DOLINAR
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 1:121 BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5004
Mailing Address - Country:US
Mailing Address - Phone:716-648-6661
Mailing Address - Fax:
Practice Address - Street 1:121 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5004
Practice Address - Country:US
Practice Address - Phone:716-648-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0357141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000700753002OtherBLUE CROSS BLUE SHIELD
NY00698173Medicaid