OrganizationActive
Southern Tier Dentistry
NPI 1083195754 · Dental Clinic/Center · Lakewood, NY
Southern Tier Dentistry is a Dental Clinic/Center organization in Lakewood, NY (NPI 1083195754).
Provider details
- NPI number
- 1083195754
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Winchester Stuart, Partner(716) 763-6823
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
133 E Fairmount Ave
Lakewood, NY 14750-1950
Phone: (716) 763-6823
Fax: (716) 763-0341
Street-level locationGet directions
Mailing address
133 E Fairmount Ave
Lakewood, NY 14750-1950
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2018-08-22
Frequently asked questions
- What is Southern Tier Dentistry's NPI number?
- Southern Tier Dentistry's National Provider Identifier (NPI) is 1083195754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Tier Dentistry?
- Southern Tier Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Tier Dentistry located?
- Southern Tier Dentistry's practice location on file with NPPES is 133 E Fairmount Ave, Lakewood, NY 14750-1950.
- What is Southern Tier Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Southern Tier Dentistry is (716) 763-6823.
- Who is the authorized official for Southern Tier Dentistry?
- The authorized official listed on Southern Tier Dentistry's NPPES record is Winchester Stuart, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Tier Dentistry's NPI active?
- Yes — Southern Tier Dentistry's NPI (1083195754) is active in the NPPES registry as of the last update on 2018-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.