OrganizationActive
Lake Chutuaqua Dental, PC
NPI 1124408364 · General Practice Dentistry · Lakewood, NY
Lake Chutuaqua Dental, PC is a General Practice Dentistry organization in Lakewood, NY (NPI 1124408364).
Provider details
- NPI number
- 1124408364
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Catlin, Owner/Dentist(716) 763-9838
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
70 E Fairmount Ave
Lakewood, NY 14750-1812
Phone: (716) 763-9838
Street-level locationGet directions
Mailing address
70 E Fairmount Ave
Lakewood, NY 14750-1812
Other names (DBA / former)
- Doing business as
- Mondovi Dental
Registry dates
- Enumerated
- 2015-06-03
- Last updated
- 2015-06-03
Frequently asked questions
- What is Lake Chutuaqua Dental, PC's NPI number?
- Lake Chutuaqua Dental, PC's National Provider Identifier (NPI) is 1124408364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Chutuaqua Dental, PC?
- Lake Chutuaqua Dental, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lake Chutuaqua Dental, PC located?
- Lake Chutuaqua Dental, PC's practice location on file with NPPES is 70 E Fairmount Ave, Lakewood, NY 14750-1812.
- What is Lake Chutuaqua Dental, PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Chutuaqua Dental, PC is (716) 763-9838.
- Who is the authorized official for Lake Chutuaqua Dental, PC?
- The authorized official listed on Lake Chutuaqua Dental, PC's NPPES record is John Catlin, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Chutuaqua Dental, PC's NPI active?
- Yes — Lake Chutuaqua Dental, PC's NPI (1124408364) is active in the NPPES registry as of the last update on 2015-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.