Provider Demographics
NPI:1699748491
Name:PAULL, JOEL H (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:H
Last Name:PAULL
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6932 WILLIAMS RD
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3071
Mailing Address - Country:US
Mailing Address - Phone:716-297-7040
Mailing Address - Fax:
Practice Address - Street 1:6932 WILLIAMS RD
Practice Address - Street 2:SUITE 1700
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3071
Practice Address - Country:US
Practice Address - Phone:716-297-7040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1139862086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00667276Medicaid
NY005057781OtherBLUE SHIELD
NY057781Medicare PIN
NYB71478Medicare UPIN