OrganizationActive
Lakeshore Pediatric Dentistry PLLC
NPI 1114586625 · Pediatric Dentistry · Peru, NY
Lakeshore Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Peru, NY (NPI 1114586625).
Provider details
- NPI number
- 1114586625
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Colleen Lacombe-Senecal, Pediatric Dentist/Owner(518) 578-5295
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 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
2993 Main St Ste 2
Peru, NY 12972-2927
Phone: (518) 282-5519
Street-level locationGet directions
Mailing address
2993 Main St Ste 2
Peru, NY 12972-2927
Registry dates
- Enumerated
- 2019-06-08
- Last updated
- 2019-06-08
Frequently asked questions
- What is Lakeshore Pediatric Dentistry PLLC's NPI number?
- Lakeshore Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1114586625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Pediatric Dentistry PLLC?
- Lakeshore Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Lakeshore Pediatric Dentistry PLLC located?
- Lakeshore Pediatric Dentistry PLLC's practice location on file with NPPES is 2993 Main St Ste 2, Peru, NY 12972-2927.
- What is Lakeshore Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Pediatric Dentistry PLLC is (518) 282-5519.
- Who is the authorized official for Lakeshore Pediatric Dentistry PLLC?
- The authorized official listed on Lakeshore Pediatric Dentistry PLLC's NPPES record is Colleen Lacombe-Senecal, Pediatric Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Pediatric Dentistry PLLC's NPI active?
- Yes — Lakeshore Pediatric Dentistry PLLC's NPI (1114586625) is active in the NPPES registry as of the last update on 2019-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.