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

Lake Country Dental PLLC

Organization Dental Clinic/Center · NPI 1396274452

Lake Country Dental PLLC is a Dental Clinic/Center in Geneva, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

404 William St Ste 5
Geneva, NY 14456-2143
Phone: (315) 789-3067
Fax: (315) 789-0056
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 050514 (NY)

Record details

NPI number1396274452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Mulkin — Owner/Dentist · (315) 789-3067
NPI enumeratedJune 12, 2017
Last updated in NPPESJuly 21, 2022
Mailing address404 William St Ste 5, Geneva, NY 14456-2143