MARK TWICHELL & ANNETTE LUKASIK DDS LLP (NPI# 1588845416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588845416 |
| Entity Type | Organization |
| Organization Name | MARK TWICHELL & ANNETTE LUKASIK DDS LLP |
| Practice Address |
85 West Main Street Fredonia NY 14063 |
| Practice Telephone | 7166722854 |
| Practice Fax Number | 7166725269 |
| Mailing Telephone | 7166722854 |
| Mailing Fax Number | 7166725269 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |
| Authorized Official Name | DR. MARK L TWICHELL (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7166722854 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0456561 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01549233 | 05 | |
| NY | 02881670 | 05 |
| Street Address |
85 WEST MAIN STREET |
| City | FREDONIA |
| State | NY |
| Zip Code | 14063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516277 | Dawn J Manzella | Specialist | 135 W Mainn St, Fredonia, NY 14063 | 2020-10-20 |
| 1265909568 | Emily Marie Ludwig | Student in an Organized Health Care Education/Training Program | 3 Andrew Ct, Fredonia, NY 14063 | 2018-10-25 |
| 1275909129 | Diane Jo Rafan | Registered Nurse | 9705 Miller Rd, Fredonia, NY 14063 | 2015-08-14 |
| 1508281312 | Ann R Dutchess | Registered Nurse | Lakeside Clinic, 355 Central Ave, Fredonia, NY 14063 | 2014-03-03 |
| 1508134941 | Lauren Cecile Merlino | Speech-Language Pathologist | 9520 Fredonia-stockton Road, Lo Guidance Education Center, Fredonia, NY 14063 | 2011-12-13 |
| 1619287315 | Warren P. Sanderson | Registered Nurse | 264 East Main St, Fredonia, NY 14063 | 2010-10-15 |
| 1992020416 | Darwin's Health Club, Inc | Case Management | 47-53 Water Street, Fredonia, NY 14063 | 2010-03-29 |
| 1629255062 | Richard M Wright | Dentist | One Park Place, Suite #240, Fredonia, NY 14063 | 2008-01-29 |
| 1992911390 | Tracy Luise Stenger | Counselor | 105 Newton Street, Fredonia, NY 14063 | 2007-05-15 |
| 1790903698 | Erik Matthew Barkley | Specialist/Technologist | 49 Dods Hall, Fredonia State University, Fredonia, NY 14063 | 2007-04-23 |
| Find all providers in zip 14063 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558811646 | Fredonia Pediatric and Adolescent Dentistry Pllc | Dentist | 10433 Christy Rd, Fredonia, NY 14063-9788 | 2016-10-12 |
| 1669410015 | Mark L Twichell | Dentist | 85 West Main St, Fredonia, NY 14063 | 2006-06-04 |
| 1326482951 | Tiffany Mccarthy | Dentist | 85 W Main St, Fredonia, NY 14063-2139 | 2013-04-25 |
| 1043490014 | Twichell and Lukasik Dds | Dentist | 85 W Main St, Fredonia, NY 14063 | 2007-11-07 |
| 1710038369 | Thy A Bui | Dentist | 1 Park Pl, Suite 215, Fredonia, NY 14063-1764 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 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.