LAKE COUNTRY DENTAL P.L.L.C (NPI# 1396274452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396274452 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTRY DENTAL P.L.L.C |
| Practice Address |
404 William St Ste 5 Geneva NY 14456-2143 |
| Practice Telephone | (315) 789-3067 |
| Practice Fax Number | 3157890056 |
| Mailing Telephone | 3157893067 |
| Mailing Fax Number | 3157890056 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Authorized Official Name | DR. LISA KAY MULKIN (OWNER/DENTIST) |
| Authorized Official Telephone | 3157893067 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
050514 | NY | Ambulatory Health Care Facilities |
| Street Address |
404 WILLIAM ST STE 5 |
| City | GENEVA |
| State | NY |
| Zip Code | 14456-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245752716 | Kristin Marie Stokes | Physician Assistant | 1150 Ny-5, Geneva, NY 14456 | 2017-07-17 |
| 1063961746 | Christina Brennan | Licensed Practical Nurse | 601b W. Washinton St, Geneva, NY 14456 | 2016-09-23 |
| 1184005704 | Finger Lakes Family Chiropractic Wellness P.C. | Chiropractor | 324 W. North Street, Suite 1, Geneva, NY 14456 | 2015-06-10 |
| 1245636422 | Jeanne Cordelia Mcclung | Social Worker | 671 Exchange Street, Geneva, NY 14456 | 2014-11-14 |
| 1245583004 | Heather E Cutler | Chiropractor | 34 Seneca Street, Second Floor Office, Geneva, NY 14456 | 2012-10-17 |
| 1457612392 | Shirley A Mumford | Home Health | 590 Pre-emption Rd., Geneva, NY 14456 | 2012-06-07 |
| 1245512573 | Karla Ann Hare | Registered Nurse | 590 Pre-emption Road, Geneva, NY 14456 | 2011-09-13 |
| 1427377787 | Carolyn Esther Swain | Registered Nurse | 590 Pre Emption Road, Sibley Nursing Service, Geneva, NY 14456 | 2010-05-26 |
| 1053637645 | Marilyn Greene | Counselor | 64 Seneca Street, Geneva, NY 14456 | 2010-04-08 |
| 1225272610 | Finger Lakes Migrant Health Care Project | Dentist | 601 B West Washington St, Geneva, NY 14456 | 2009-04-29 |
| Find all providers in zip 14456 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902061344 | Timothy E. Skidmore, D.d.s., P.C. | Clinic/Center | 39w250 Herrington Blvd, Suite F1, Geneva, IL 60134-6192 | 2008-07-24 |
| 1558833459 | Allison Jensen, Dmd, PC | Clinic/Center | 112 N 4th St, Geneva, IL 60134-2125 | 2018-12-18 |
| 1952812976 | Geneva Family Dentistry | Clinic/Center | 1008 G St, Geneva, NE 68361-2007 | 2017-10-17 |
| 1801313358 | Alayna Corden Dmd, Ms, PC | Clinic/Center | 403 Williamsburg Ave, Geneva, IL 60134-1091 | 2017-08-25 |
| 1578970042 | Thomas Skoumal Dds, PC | Clinic/Center | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.