Provider Demographics
NPI:1013111400
Name:VOSSLER, ELLEN MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:MARIA
Last Name:VOSSLER
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 1:5845 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5709
Mailing Address - Country:US
Mailing Address - Phone:716-634-1234
Mailing Address - Fax:716-626-6340
Practice Address - Street 1:5845 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5709
Practice Address - Country:US
Practice Address - Phone:716-634-1234
Practice Address - Fax:716-626-6340
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04221011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice