Provider Demographics
NPI:1326299348
Name:DAWLI, AMY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:DAWLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2290 DELAWARE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-2632
Mailing Address - Country:US
Mailing Address - Phone:716-885-1905
Mailing Address - Fax:716-885-1908
Practice Address - Street 1:2290 DELAWARE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-2632
Practice Address - Country:US
Practice Address - Phone:716-885-1905
Practice Address - Fax:716-885-1908
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0539811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice