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Provider Information for 1144349440



DR. JOHN CHARLES TANEFF DDS

Gender: MALE

Individual NPI: 1144349440

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1144349440
Enumeration Date 2007-03-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4245 UNION RD
CHEEKTOWAGA, NY 14225
United States

Phone: 716-631-3882 | Fax: 716-631-0968
View Map External Link
Primary Practice Address 4245 UNION RD
CHEEKTOWAGA, NY 14225
United States

Phone: 716-631-3882 | Fax: 716-631-0968
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 043843