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

Lakeshore Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1114586625

Lakeshore Pediatric Dentistry PLLC is a Pediatric Dentistry in Peru, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2993 Main St Ste 2
Peru, NY 12972-2927
Phone: (518) 282-5519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1114586625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colleen Lacombe-Senecal — Pediatric Dentist/Owner · (518) 578-5295
NPI enumeratedJune 8, 2019
Last updated in NPPESJune 8, 2019
Mailing address2993 Main St Ste 2, Peru, NY 12972-2927