person
Dr. Stephen J Illig, DDS
General Practice Dentistry in Salamanca, New York
NPI 1336233477

Stephen J Illig is a General Practice Dentistry based in Salamanca, NY and is specialized in General Practice. Stephen J Illig practices in Salamanca, NY and has the professional credentials of DDS. The NPI Number for Stephen J Illig is 1336233477 and holds a License No. 030190 (New York).

The current practice location address for Stephen J Illig is 987 R C Hoag Dr, Salamanca, NY and can be reached out via phone at 716-945-5894 and via fax at 716-242-6345.

Location: 987 R C Hoag Dr, Salamanca, NY, 14779-1365
person
Provider Profile Details
NPI Number
1336233477
Provider Name
Stephen J Illig
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
987 R C Hoag Dr, Salamanca, NY, 14779-1365
Phone Number
716-945-5894
Fax Number
716-242-6345
Provider Enumeration Date
10/03/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007016271 01 NY WNYBCBS
143435 01 UNITED CONCORDIA
4001458 01 NY INDEPENDENT HEALTH
00807727 05 NY
institution
Provider Business Practice Location Address Details
Address
987 R C Hoag Dr
City
State
Zip
14779-1365
Phone Number
716-945-5894
Fax Number
716-242-6345
person
Provider Business Mailing Address Details
Address
987 R C Hoag Dr
City
State
Zip
14779-1365
Phone Number
716-945-5894
Fax Number
716-242-6345
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
030190 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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