Provider Demographics
NPI:1699503789
Name:CONCIEGE DENTAL GROUP PLLC
Entity type:Organization
Organization Name:CONCIEGE DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RCM
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEISZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-481-7590
Mailing Address - Street 1:33 MELROSE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6848
Mailing Address - Country:US
Mailing Address - Phone:716-418-7272
Mailing Address - Fax:
Practice Address - Street 1:2677 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-1131
Practice Address - Country:US
Practice Address - Phone:716-333-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONCIEGE DENTAL GROUP PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty