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Dr. Louis A Surace, DDS
Pediatric Dentist in Lockport, New York
NPI 1295792414

Louis A Surace is a Pediatric Dentist based in Lockport, NY and is specialized in Pediatric Dentistry. Louis A Surace practices in Lockport, NY and has the professional credentials of DDS. The NPI Number for Louis A Surace is 1295792414 and holds a License No. 041626 (New York).

The current practice location address for Louis A Surace is 37 Professional Pkwy, Lockport, NY and can be reached out via phone at 716-433-3364 and via fax at 716-433-7763.

Location: 37 Professional Pkwy, Lockport, NY, 14094-5367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295792414
Provider Name
Louis A Surace
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
37 Professional Pkwy, Lockport, NY, 14094-5367
Phone Number
716-433-3364
Fax Number
716-433-7763
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01273367 05 NY
institution
Provider Business Practice Location Address Details
Address
37 Professional Pkwy
City
Lockport
State
New York
Zip
14094-5367
Phone Number
716-433-3364
Fax Number
716-433-7763
person
Provider Business Mailing Address Details
Address
37 Professional Pkwy
City
Lockport
State
New York
Zip
14094-5367
Phone Number
716-433-3364
Fax Number
716-433-7763
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
041626 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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