Provider Demographics
NPI:1245852334
Name:WALTER G NEUHAUS DDS PC
Entity type:Organization
Organization Name:WALTER G NEUHAUS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:NEUHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-691-8394
Mailing Address - Street 1:2825 NIAGARA FALLS BLVD STE 170
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2000
Mailing Address - Country:US
Mailing Address - Phone:716-691-8394
Mailing Address - Fax:716-691-8399
Practice Address - Street 1:2825 NIAGARA FALLS BLVD STE 170
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2000
Practice Address - Country:US
Practice Address - Phone:716-691-8394
Practice Address - Fax:716-691-8399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental