| Lake Chutuaqua Dental, Pc | |
|
70 E Fairmount Ave Lakewood NY 14750-1812 | |
| (716) 763-9838 | |
| Not Available |
| Full Name | Lake Chutuaqua Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 70 E Fairmount Ave, Lakewood, New York |
| Authorized Official Name and Position | John Catlin (OWNER/DENTIST) |
| Authorized Official Contact | 7167639838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Chutuaqua Dental, Pc 70 E Fairmount Ave Lakewood NY 14750-1812 Ph: (716) 763-9838 | Lake Chutuaqua Dental, Pc 70 E Fairmount Ave Lakewood NY 14750-1812 Ph: (716) 763-9838 |
| NPI Number | 1124408364 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124408364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Southern Tier Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Fairmount Ave, Lakewood, NY 14750 Phone: 716-763-6823 Fax: 716-763-0341 | |
Lakewood Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Fairmount Ave Ste 1, Lakewood, NY 14750 Phone: 716-763-0130 |