Dr. Graci Marra Bax, DDS
Dentist in East Amherst, NY. Individual provider (NPI-1).
NPI number1295953586
StatusActive
Last updated in NPPESJun 13, 2013
Details
- NPI
- 1295953586
- Entity type
- Individual (NPI-1)
- Name
- Dr. Graci Marra Bax
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2007
- Last updated
- Jun 13, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 053070 | NY | Yes |
Practice location
364 Forest Edge DrEast Amherst, NY 14051-1246
Phone 716-531-2389
Mailing address
364 Forest Edge DrEast Amherst, NY 14051-1246
Phone 716-531-2389
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Dentist providers in East Amherst · All 435 providers in East Amherst
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