LAKEVIEW DENTAL (NPI# 1467897009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467897009 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW DENTAL |
| Practice Address |
6003 Big Tree Rd Lakeville NY 14480-9753 |
| Practice Telephone | 5853463028 |
| Mailing Telephone | 5853463028 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |
| Authorized Official Name | BRIAN HIRSCHFIELD (DENTIST) |
| Authorized Official Telephone | 5853463028 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801241922 | Lakeview Dental | Durable Medical Equipment & Medical Supplies | 801 W Milwaukee Dr, Coeur D Alene, ID 83814-2236 | 2016-04-26 |
| 1689071623 | Lakeview Dental | Dentist | 2291 S Fort Apache Rd, Suite 104, Las Vegas, NV 89117-5895 | 2014-11-19 |
| 1689076234 | Lakeview Dental | Clinic/Center | 2 Village Rd, Suite 9, Horsham, PA 19044-3813 | 2014-09-25 |
| 1538336474 | Lakeview Dental | Dentist | 709 N Lake Ave, Pasadena, CA 91104 | 2008-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | LAKEVIEW DENTAL ASSOCIATES, LLC | 1090 Meriden Waterbury Turnpike, Cheshire, CT 06410 |
| Oregon Corporations, Companies and Business Names | LAKEVIEW DENTAL CENTER, LLC | 2601 25th St Se Ste 430, Salem, OR 97302 |
| New York State Corporations | LAKEVIEW DENTAL LABS, INC. | 1192 Hempstead Turnpike, Franklin Square, Ny 11010 |
| Street Address |
6003 BIG TREE RD |
| City | LAKEVILLE |
| State | NY |
| Zip Code | 14480-9753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053320499 | Mark Charles Durkin | Podiatrist | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2006-08-05 |
| 1700383072 | Sandra Kae Landon | Technician/Technologist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2018-04-12 |
| 1427555812 | Ardis Kelley | Technician/Technologist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2018-04-11 |
| 1821491887 | Ues Optical, Inc | Durable Medical Equipment & Medical Supplies | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2014-10-06 |
| 1629371075 | Acupuncture and Massage of Western New York PC | Massage Therapist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2010-12-07 |
| 1003953837 | Peter Shea | Acupuncturist | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2007-01-31 |
| 1689747388 | Finger Lakes Podiatry, PC | Podiatrist | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2006-11-17 |
| 1174619365 | University Optical Corp | Durable Medical Equipment & Medical Supplies | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2006-10-05 |
| 1053405324 | John David Woodruff | Dentist | 6003 Big Tree Rd, Suite 6, Lakeville, NY 14480-9720 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031664 | Brenda Flores Sousa | Dentist | 6003 Big Tree Rd., Lakeville, NY 14480 | 2015-04-23 |
| 1295810802 | Nancy J Mulvaney | Pharmacist | 5975 Big Tree Rd., Lakeville, NY 14480 | 2006-10-25 |
| 1013979772 | Robin Crist | Physical Therapist | 3506 Thomas Dr., Lakeville, NY 14480 | 2006-04-06 |
| 1063488948 | Andrew V Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1386094076 | State of New York Comptrollers Office | Clinic/Center | 3505 Thomas Dr, Livonia, NY 14480 | 2016-06-14 |
| 1356445662 | Lisa N. Mckay | Pharmacist | 5975 Big Tree Rd, Lakeville, NY 14480 | 2006-09-08 |
| 1871556795 | Aaron Charles Borden | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-04-11 |
| 1740256627 | Dawn M Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1689736746 | Livonia Lakeville Pharmacy Inc | Pharmacy | 5975 Big Tree Rd, Lakeville, NY 14480-0414 | 2006-12-15 |
| 1114977741 | John Alker | Anesthesiology | 3518 Pebble Beach Rd, Lakeville, NY 14480-9708 | 2006-05-12 |
| Find all providers in zip 14480 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518451707 | Clint Matthew Kroeker | Dentist | 20143 Idealic Ave # 105, Lakeville, MN 55044-6343 | 2018-06-20 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1598943441 | Jay D. Simonton | Dentist | 18572 Joplin Ave, Lakeville, MN 55044-4218 | 2008-02-02 |
| 1174693865 | Perri Ann Polman Larson | Dentist | 17599 Kenwood Trail W, Ste 7, Lakeville, MN 55044 | 2006-11-09 |
| 1891883260 | James Francis Lesch | Dentist | 20785 Holyoke Ave, Lakeville, MN 55044-9825 | 2006-10-11 |
| 1275634438 | Mackenzie King Platt | Dentist | 11183 205th St. W., Lakeville, MN 55044 | 2006-09-26 |
| 1316913411 | Metro Dentalcare, Plc | Dentist | 17597 Cedar Ave, Lakeville, MN 55044-5269 | 2006-02-27 |
| 1306454871 | Tyler Rohr | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044-4105 | 2020-07-21 |
| 1346807666 | Amanda Helgerson | Dentist | 16372 Kenrick Ave, Lakeville, MN 55044-3540 | 2019-05-22 |
| 1043715204 | Minnesota Dental Professionals, P.C. | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2018-03-28 |
| Find all providers in LAKEVILLE | ||||
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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.