Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fredonia Pediatric and Adolescent Dentistry PLLC

Organization Pediatric Dentistry · NPI 1558811646

Fredonia Pediatric and Adolescent Dentistry PLLC is a Pediatric Dentistry in Fredonia, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10433 Christy Rd
Fredonia, NY 14063-9788
Phone: (716) 672-2854
Fax: (716) 672-5269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 045656 (NY)

Record details

NPI number1558811646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoinette Lukasik — Pediatric Dentist · (716) 672-2854
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 15, 2019
Mailing address10433 Christy Rd, Fredonia, NY 14063-9788

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