Provider Demographics
NPI:1790794808
Name:CLAUSER, KEVIN GREGORY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:GREGORY
Last Name:CLAUSER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5574 WOODSEDGE CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2848
Mailing Address - Country:US
Mailing Address - Phone:716-560-2383
Mailing Address - Fax:
Practice Address - Street 1:1630 MAPLE RD STE 400
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3706
Practice Address - Country:US
Practice Address - Phone:716-568-2273
Practice Address - Fax:716-568-2047
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052390-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice