LAKE DENTAL OF SARATOGA, PC


Address: 176 Lake Ave, Saratoga Springs, NY 12866-2529
Phone: 5189350068

LAKE DENTAL OF SARATOGA, PC (NPI# 1801196134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801196134
Entity Type Organization
Organization Name LAKE DENTAL OF SARATOGA, PC
Practice Address 176 Lake Ave
Saratoga Springs
NY 12866-2529
Practice Telephone 5189350068
Practice Fax Number 5185811145
Mailing Telephone 5189350068
Mailing Fax Number 5185811145
Enumeration Date 2010-11-03
Last Update Date 2018-03-17
Authorized Official Name MRS. TRACIE LYNN DENNIS (BOOK KEEPER)
Authorized Official Telephone 5188172490
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
022051-1 NY Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
052845 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 1710943774 05
NY 1467654178 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
28 Clinton St Ste 7, Saratoga Springs, NY 128662143 5189350068 5183065112

Office Location

Street Address 176 LAKE AVE
City SARATOGA SPRINGS
State NY
Zip Code 12866-2529

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286247 Rebecca Schiller Occupational Therapy Assistant 121 Lawrence St, Saratoga Springs, NY 12866 2020-08-17
1417597113 Valerie June Andrascik Physical Therapy Assistant Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 2020-01-10
1790262749 Sarah Leclerc Psychologist 1 Kempton Place, Saratoga Springs, NY 12866 2018-07-23
1386165454 Kristina James Speech-Language Pathologist 88 Monroe St, Saratoga Springs, NY 12866 2017-06-29
1255799243 Mary E Mccue Dietitian, Registered 683 Lake Ave, Saratoga Springs, NY 12866 2016-02-04
1982062261 St. Peter's Health Partners Medical Associates, PC Family Medicine 377 Church Street, Saratoga, NY 12866 2016-02-02
1811353238 Kristin Elizabeth Symmes Registered Nurse 135 South Broadway, Saratoga Springs, NY 12866 2016-01-14
1053707752 Kaitlyn Lewis Social Worker 60 Geyser Road, Saratoga Springs, NY 12866 2015-04-09
1609264746 Jessica Rose Leslie Counselor 79 Ash Street, Saratoga Springs, NY 12866 2014-12-23
1770990251 Ranjit Bhagwat Psychologist 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 2014-07-17
Find all providers in zip 12866

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023625407 Austin Keith Woodfield Dentist 1305 N Commerce Dr # 22, Saratoga Springs, UT 84045-5305 2020-09-29
1376167502 Ashleigh Dearing Dentist 1652 N Blackhawk Dr, Saratoga Springs, UT 84045-5810 2020-06-03
1689206542 Saratoga Dental Care, Pllc Dentist 75 Weibel Ave Unit A, Saratoga Springs, NY 12866-5899 2020-02-10
1689237034 Zachary Ryan Conley Dentist 3057 Route 50, Saratoga Springs, NY 12866-2956 2019-04-20
1467814624 Stonehaven Dental - Saratoga Springs LLC Dentist 308 E Crossroads Blvd, Saratoga Springs, UT 84045-7133 2016-03-25
1821355926 Alfred W Hollis IIi Dentist 157 Lake Ave, Saratoga Springs, NY 12866-2532 2012-04-13
1538200316 Young Family Dental Ss Dentist 1416 N Redwood Rd, Saratoga Springs, UT 84045-6455 2007-02-12
1831236496 Daniel Fleming Dentist 586 Maple Ave, Saratoga Springs, NY 12866-5628 2007-01-31
1407925233 Jeremy Boyce Matthews Dentist 1305 N Commerce Dr, Suite 220, Saratoga Springs, UT 84043-5305 2006-11-07
1447337555 Shazia Mehdi Dentist 409 Geyser Rd, Suite B, Saratoga Springs, NY 12020-3022 2006-11-01
Find all providers in SARATOGA SPRINGS

Competitor

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City SARATOGA SPRINGS
Zip Code 12866

Improve Information

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Dataset Information

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.

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