NPI 1063593770

Kevin Gerard Yachwan, DDS

Practitioner General Practice Dentistry Niagara Falls, NY

Practice location

Address: 727 Main St, Niagara Falls, NY 14301-1741
Phone: (716) 285-2815
Mailing address: 2250a Jagow Rd, Niagara Falls, NY 14304-2947

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 044544 (NY)

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Registry record

NPI: 1063593770
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.