Provider Demographics
NPI:1063546356
Name:BUSCAGLIA, JOHN CHRISTOPHER (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:BUSCAGLIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:19 LIMESTONE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7091
Mailing Address - Country:US
Mailing Address - Phone:716-632-9015
Mailing Address - Fax:716-632-1414
Practice Address - Street 1:19 LIMESTONE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7091
Practice Address - Country:US
Practice Address - Phone:716-632-9015
Practice Address - Fax:716-632-1414
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY350441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice