Provider Demographics
NPI:1831498237
Name:COMO PARK DENTAL ASSOCIATES,PLLC
Entity Type:Organization
Organization Name:COMO PARK DENTAL ASSOCIATES,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHIUMO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-683-7666
Mailing Address - Street 1:1965 COMO PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-3068
Mailing Address - Country:US
Mailing Address - Phone:716-683-7666
Mailing Address - Fax:716-685-9265
Practice Address - Street 1:1965 COMO PARK BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-3068
Practice Address - Country:US
Practice Address - Phone:716-683-7666
Practice Address - Fax:716-685-9265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY392841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty