Provider Demographics
NPI:1679785703
Name:DRS. PATRIGNANI AND KOHOUT, DDS, PC
Entity type:Organization
Organization Name:DRS. PATRIGNANI AND KOHOUT, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PATRIGNANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:716-633-4747
Mailing Address - Street 1:6636 MAIN ST.
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-633-4747
Mailing Address - Fax:716-633-0328
Practice Address - Street 1:6636 MAIN ST.
Practice Address - Street 2:SUITE 5
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-633-4747
Practice Address - Fax:716-633-0328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0331631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty