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

Fredonia Pediatric and Adolescent Dentistry PLLC

Organization Pediatric Dentistry · NPI 1558811646

Fredonia Pediatric and Adolescent Dentistry PLLC provides Pediatric Dentistry in Fredonia, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10433 Christy Rd
Fredonia, NY 14063-9788
Phone: (716) 672-2854
Fax: (716) 672-5269
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 045656 (NY)

Record details

NPI number1558811646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoinette Lukasik — Pediatric Dentist · (716) 672-2854
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 15, 2019
Mailing address10433 Christy Rd, Fredonia, NY 14063-9788

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