Lakewood Pediatric Dentistry PLLC
Lakewood Pediatric Dentistry PLLC provides Pediatric Dentistry in Lakewood, 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.
Practice location Address checks out
133 E Fairmount Ave Ste 1Lakewood, NY 14750-1950
Phone: (716) 763-0130
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 058246 (NY) |
|---|
Record details
| NPI number | 1417499500 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jan Carlson — Owner/Dentist · (716) 763-0130 |
| NPI enumerated | November 7, 2016 |
| Last updated in NPPES | November 7, 2016 |
| Mailing address | 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 |
Other providers in Lakewood
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Dr. Jan Ray Carlson, DDS
133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 · (716) 763-0130