Elmwood Village Dental PC
NPI 1659032639ActiveOrganization· Dentist, General Practice· Buffalo, NY
Dentist, General Practice in Buffalo, New York, registered in NPPES in January 2022. The authorized official on file is Deborah Damico, Credentialing Liaison.
Overview
| NPI | 1659032639 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2022 |
| Last updated in NPPES | Jan 3, 2022 |
| Certified by provider | Jan 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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