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LAKE SHORE ORTHODONTICS & ORAL SURGERY PC NPI 1285885897


NPI Information

NPI: 1285885897
Provider Name: LAKE SHORE ORTHODONTICS & ORAL SURGERY PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
415 MAIN STREET
DUNKIRK, NY
ZIP 14048
Phone: (716) 366-8330
Get Directions

LAKE SHORE ORTHODONTICS & ORAL SURGERY PC is an oral and maxillofacial surgery dentist in Dunkirk, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. LAKE SHORE ORTHODONTICS & ORAL SURGERY PC NPI is 1285885897. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

415 MAIN STREET
DUNKIRK, NY
ZIP 14048
Phone: (716) 366-8330
Fax: (716) 366-3077

The provider's authorized official is James Theodore Strychalski .
The authorized official title is Oral Surgeon and has the following contact phone number (716) 366-8330.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 10/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist031690-1NEW YORKNo
21223S0112XDentistOral and Maxillofacial Surgery024679NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AA0812MEDICARE PIN
2T89456MEDICARE UPIN
3006 13438MEDICAIDNEW YORK
4006 22808MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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