Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Baker Victory Healthcare Center

Organization Dentist · NPI 1619191855

Baker Victory Healthcare Center provides Dentist services in Lackawanna, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

790 Ridge Rd
Lackawanna, NY 14218-1696 Not confirmed with CMS for 10 years — call before visiting
Phone: (716) 828-9350
Fax: (716) 828-9355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (NY)
Dentist Taxonomy 122300000X · Licence 1402201R (NY)

Record details

NPI number1619191855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terese Scofidio — Chief Executive Officer · (716) 828-9515
NPI enumeratedApril 12, 2007
Last updated in NPPESOctober 30, 2015
Mailing address790 Ridge Road, Lackawanna, NY 14218-1696

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