Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Convissar Korff, DDS

Individual provider General Practice Dentistry · NPI 1669766846

Kathryn Convissar Korff, DDS is an Oral Surgery in Buffalo, New York. Graduated from State Un of Ny, Buffalo School of Dental Medicine in 2011, 15 years ago. Practices with Erie County Medical Center Corporation, a 322-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
State Un of Ny, Buffalo School of Dental Medicine
Licensed in
NY
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-3537
Fax: (716) 898-3716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 056134 (NY)

Record details

NPI number1669766846
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 5, 2011
Last updated in NPPESFebruary 17, 2016
Mailing address462 Grider St, Buffalo, NY 14215-3021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolSTATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
Graduated 2011 (15 years in practice)
Group practice Erie County Medical Center Corporation — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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