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

Southern Tier Dentistry

Organization Dental Clinic/Center · NPI 1083195754

Southern Tier Dentistry is a Dental Clinic/Center in Lakewood, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

133 E Fairmount Ave
Lakewood, NY 14750-1950
Phone: (716) 763-6823
Fax: (716) 763-0341
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1083195754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Winchester Stuart — Partner · (716) 763-6823
NPI enumeratedAugust 22, 2018
Last updated in NPPESAugust 22, 2018
Mailing address133 E Fairmount Ave, Lakewood, NY 14750-1950