Green Lakes Dental, LLP
Green Lakes Dental, LLP is a Dental Clinic/Center in Fayetteville, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLP — Limited liability partnership
- A form of business registration, not a clinical qualification.
Practice location Address checks out
511 E Genesee StFayetteville, NY 13066-1524
Phone: (315) 637-4616
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1174259212 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tyler Maxwell — Owner · (315) 637-4616 |
| NPI enumerated | July 30, 2022 |
| Last updated in NPPES | July 30, 2022 |
| Certification date | July 30, 2022 |
| Mailing address | 511 E Genesee St, Fayetteville, NY 13066-1524 |
Other providers in Fayetteville
-
Grassi DDS PC
6789 E Genesee St # 1B, Fayetteville, NY 13066-1640 · (315) 729-6206
-
Marley M Rinoldo DDS PC
6844 E Genesee St, Fayetteville, NY 13066-1031 · (315) 449-0711