Provider Demographics
NPI:1104057256
Name:BETTERSMILE OF W.N.Y., PLLC
Entity type:Organization
Organization Name:BETTERSMILE OF W.N.Y., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:K
Authorized Official - Last Name:RIAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-688-3000
Mailing Address - Street 1:6161 TRANSIT RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2606
Mailing Address - Country:US
Mailing Address - Phone:716-688-3000
Mailing Address - Fax:716-580-3827
Practice Address - Street 1:6161 TRANSIT RD
Practice Address - Street 2:SUITE 1
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2606
Practice Address - Country:US
Practice Address - Phone:716-688-3000
Practice Address - Fax:716-580-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0502171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty