Provider Demographics
NPI:1558826040
Name:TRANSIT VALLEY DENTAL CARE, PLLC
Entity Type:Organization
Organization Name:TRANSIT VALLEY DENTAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ATHANS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-688-0777
Mailing Address - Street 1:8840 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1873
Mailing Address - Country:US
Mailing Address - Phone:716-688-0777
Mailing Address - Fax:716-688-7425
Practice Address - Street 1:8840 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1873
Practice Address - Country:US
Practice Address - Phone:716-688-0777
Practice Address - Fax:716-688-7425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental