Provider Demographics
NPI:1598913378
Name:STARRING, PATRICIA JANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JANE
Last Name:STARRING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 TUDOR PL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1615
Mailing Address - Country:US
Mailing Address - Phone:716-432-6061
Mailing Address - Fax:
Practice Address - Street 1:53 TUDOR PL
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1615
Practice Address - Country:US
Practice Address - Phone:716-432-6061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39440122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist