Provider Demographics
NPI:1760536551
Name:NIGALYE, SANIL BALKRISHNA (DDS, MD,)
Entity Type:Individual
Prefix:DR
First Name:SANIL
Middle Name:BALKRISHNA
Last Name:NIGALYE
Suffix:
Gender:M
Credentials:DDS, MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6622 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5968
Mailing Address - Country:US
Mailing Address - Phone:716-276-3553
Mailing Address - Fax:716-276-3552
Practice Address - Street 1:3435 MAIN STREET
Practice Address - Street 2:SQUIRE HALL UNIVERSITY AT BUFFALO
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-3013
Practice Address - Country:US
Practice Address - Phone:716-829-2722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049563-11223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery