Provider Demographics
NPI:1285725168
Name:KAGAN, JULIA (DDS)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:KAGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:KAGAN OPPENHEIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2500 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4927
Mailing Address - Country:US
Mailing Address - Phone:716-839-1700
Mailing Address - Fax:716-839-1772
Practice Address - Street 1:2500 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4927
Practice Address - Country:US
Practice Address - Phone:716-839-1700
Practice Address - Fax:716-839-1772
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY51413-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice