Provider Demographics
NPI:1194940825
Name:PAZZAGLIA ADOLF, MARGARET M (DDS)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:PAZZAGLIA ADOLF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2121 MAIN STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2670
Mailing Address - Country:US
Mailing Address - Phone:716-832-3108
Mailing Address - Fax:716-832-3108
Practice Address - Street 1:2121 MAIN ST STE 310
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2671
Practice Address - Country:US
Practice Address - Phone:716-832-3108
Practice Address - Fax:716-832-0683
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0434361122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02148089Medicaid