| Fredonia Pediatric And Adolescent Dentistry Pllc | |
|
10433 Christy Rd Fredonia NY 14063-9788 | |
| (716) 672-2854 | |
| (716) 672-5269 |
| Full Name | Fredonia Pediatric And Adolescent Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10433 Christy Rd, Fredonia, New York |
| Authorized Official Name and Position | Antoinette Lukasik (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7166722854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredonia Pediatric And Adolescent Dentistry Pllc 10433 Christy Rd Fredonia NY 14063-9788 Ph: (716) 672-2854 | Fredonia Pediatric And Adolescent Dentistry Pllc 10433 Christy Rd Fredonia NY 14063-9788 Ph: (716) 672-2854 |
| NPI Number | 1558811646 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558811646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 045656 (New York) | Primary |
Twichell And Lukasik Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 W Main St, Fredonia, NY 14063 Phone: 716-672-2854 Fax: 716-672-5269 | |
Russell J Dipalma Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 East Main Street, Fredonia, NY 14063 Phone: 716-673-9136 Fax: 716-679-2221 | |
Mark Twichell & Annette Lukasik Dds Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 West Main Street, Fredonia, NY 14063 Phone: 716-672-2854 Fax: 716-672-5269 |