Provider Demographics
NPI:1740315738
Name:THOMAS AND DRAGONETTE DDS PLLC
Entity type:Organization
Organization Name:THOMAS AND DRAGONETTE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DRAGONETTE
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-648-6661
Mailing Address - Street 1:121 BUFFALO STREET
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075
Mailing Address - Country:US
Mailing Address - Phone:716-648-6661
Mailing Address - Fax:
Practice Address - Street 1:121 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5004
Practice Address - Country:US
Practice Address - Phone:716-648-6661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0357141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty