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LAKE DENTAL OF SARATOGA PC NPI 1801196134


NPI Information

NPI: 1801196134
Provider Name: LAKE DENTAL OF SARATOGA, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
176 LAKE AVE
SARATOGA SPRINGS, NY
ZIP 12866
Phone: (518) 935-0068
Get Directions

LAKE DENTAL OF SARATOGA, PC is a general practice dentist in Saratoga Springs, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAKE DENTAL OF SARATOGA, PC NPI is 1801196134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

176 LAKE AVE
SARATOGA SPRINGS, NY
ZIP 12866-529
Phone: (518) 935-0068
Fax: (518) 581-1145

The provider's authorized official is Tracie Lynn Dennis .
The authorized official title is Book Keeper and has the following contact phone number (518) 817-2490.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice052845NEW YORKYes
21223G0001XDentistGeneral Practice022051-1NEW YORKNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11467654178MEDICAIDNEW YORK
21710943774MEDICAIDNEW 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: 4/28/2024

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