Ellyce Clonan, DDS

General Practice Dentistry · Buffalo, NY

Individual Active NPI

NPI number 1619461399

Practice location

3435 Main St
Buffalo, NY 14214-3099
Phone
(716) 829-3332
Fax
(716) 833-3517

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NPI record

NPI
1619461399
Entity type
Individual (Type 1)
Enumeration date
June 18, 2018
Last updated
January 29, 2024
Certified
January 29, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 060727 NY
Public Health Dentistry 1223D0001X 060727 NY

About Dr. Clonan

Ellyce Clonan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3435 Main St, Buffalo, NY 14214-3099. The NPI number 1619461399 was assigned on June 18, 2018 and the record was last updated on January 29, 2024.

Dr. Clonan lists 2 licenses in the registry: #060727 (NY) for General Practice Dentistry; #060727 (NY) for Public Health Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellyce Clonan, DDS?

The NPI number is 1619461399.

What is the phone number of Dr. Clonan?

The phone number listed for the practice location is (716) 829-3332.

Where is Dr. Clonan located?

3435 Main St, Buffalo, NY 14214-3099.

What is the taxonomy code for Dr. Clonan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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