| Lakeshore Family And Cosmetic Dentistry P.c. | |
|
3200 West St Canandaigua NY 14424-1722 | |
| (585) 394-5800 | |
| (585) 486-1284 |
| Full Name | Lakeshore Family And Cosmetic Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3200 West St, Canandaigua, New York |
| Authorized Official Name and Position | Sandro R Popelka (PRESIDENT) |
| Authorized Official Contact | 5853945800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family And Cosmetic Dentistry P.c. 3200 West St Canandaigua NY 14424-1722 Ph: (585) 394-5800 | Lakeshore Family And Cosmetic Dentistry P.c. 3200 West St Canandaigua NY 14424-1722 Ph: (585) 394-5800 |
| NPI Number | 1932260684 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932260684 | NPI | - | NPPES |
| 1164514378 | Other | NY | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50052259 (New York) | Primary |
Gullo Dental, Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 330 N Main St, Canandaigua, NY 14424 Phone: 585-394-4664 Fax: 585-394-0492 | |
Lux Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Brook St, Canandaigua, NY 14424 Phone: 585-394-8071 Fax: 585-394-8529 | |
Finger Lakes Dental Care, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 329 South Main Street, Canandaigua, NY 14424 Phone: 585-394-1930 Fax: 585-394-1938 | |
V, Brain Gagliardi, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S Main St, Canandaigua, NY 14424 Phone: 585-394-5910 | |
Benedict F. Gullo, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N Main St, Canandaigua, NY 14424 Phone: 585-394-4664 Fax: 585-394-0492 | |
Dental Care Of Canandaigua Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 N Main St, Canandaigua, NY 14424 Phone: 585-394-5910 Fax: 595-394-6216 | |
Canandaigua Pediactric Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 West St, Suite 101, Canandaigua, NY 14424 Phone: 585-394-4058 Fax: 585-394-4058 |