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Lakewood Pediatric Dentistry Pllc
Pediatric Dentist in Lakewood, New York
NPI 1417499500

Lakewood Pediatric Dentistry Pllc is a Pediatric Dentist based in Lakewood, NY and is specialized in Pediatric Dentistry. Lakewood Pediatric Dentistry Pllc practices in Lakewood, NY. The NPI Number for Lakewood Pediatric Dentistry Pllc is 1417499500 and holds a License No. 058246 (New York).

The current practice location address for Lakewood Pediatric Dentistry Pllc is 133 E Fairmount Ave Ste 1, Lakewood, NY and can be reached out via phone at 716-763-0130.

Location: 133 E Fairmount Ave Ste 1, Lakewood, NY, 14750-1950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417499500
Provider Name
Lakewood Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
133 E Fairmount Ave Ste 1, Lakewood, NY, 14750-1950
Phone Number
716-763-0130
Fax Number
Provider Enumeration Date
11/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
133 E Fairmount Ave Ste 1
City
Lakewood
State
New York
Zip
14750-1950
Phone Number
716-763-0130
Fax Number
person
Provider Business Mailing Address Details
Address
133 E Fairmount Ave Ste 1
City
Lakewood
State
New York
Zip
14750-1950
Phone Number
716-763-0130
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
058246 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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