Provider Demographics
NPI:1477564219
Name:DENTAL CARE ASSOCIATES OF BUFFALO PA
Entity Type:Organization
Organization Name:DENTAL CARE ASSOCIATES OF BUFFALO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:763-682-2572
Mailing Address - Street 1:306 BRIGHTON AVE S
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-2318
Mailing Address - Country:US
Mailing Address - Phone:763-360-9972
Mailing Address - Fax:763-682-2700
Practice Address - Street 1:306 BRIGHTON AVE S
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-2318
Practice Address - Country:US
Practice Address - Phone:763-682-2572
Practice Address - Fax:763-682-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental