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

Lake Chutuaqua Dental, PC

Organization General Practice Dentistry · NPI 1124408364

Lake Chutuaqua Dental, PC is a General Practice Dentistry in Lakewood, New York. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

70 E Fairmount Ave
Lakewood, NY 14750-1812
Phone: (716) 763-9838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1124408364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Catlin — Owner/Dentist · (716) 763-9838
Other names Mondovi Dental
NPI enumeratedJune 3, 2015
Last updated in NPPESJune 3, 2015
Mailing address70 E Fairmount Ave, Lakewood, NY 14750-1812

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