Provider Demographics
NPI:1558505420
Name:GREENBERG, DORALEE SARAH JANETTE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:DORALEE
Middle Name:SARAH JANETTE
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:DORALEE
Other - Middle Name:SARAH JANETTE
Other - Last Name:GERBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:78 SANDHURST LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3118
Mailing Address - Country:US
Mailing Address - Phone:716-983-2526
Mailing Address - Fax:
Practice Address - Street 1:4330 MAPLE RD
Practice Address - Street 2:INSPIRE DENTAL GROUP
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1064
Practice Address - Country:US
Practice Address - Phone:716-362-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0552001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice