Provider Demographics
NPI:1376787267
Name:BUYERS, MADELINE MASTELLER (DDS)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:MASTELLER
Last Name:BUYERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MADELINE
Other - Middle Name:JANE
Other - Last Name:MASTELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4931 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4549
Mailing Address - Country:US
Mailing Address - Phone:734-417-6747
Mailing Address - Fax:
Practice Address - Street 1:6435 WEBSTER RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1835
Practice Address - Country:US
Practice Address - Phone:716-662-7229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057721-11223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics