OrganizationActive
Lakewood Pediatric Dentistry PLLC
NPI 1417499500 · Pediatric Dentistry · Lakewood, NY
Lakewood Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Lakewood, NY (NPI 1417499500).
Provider details
- NPI number
- 1417499500
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jan Carlson, Owner/Dentist(716) 763-0130
- License
- 058246 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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 Ste 1
Lakewood, NY 14750-1950
Phone: (716) 763-0130
Street-level locationGet directions
Mailing address
133 E Fairmount Ave Ste 1
Lakewood, NY 14750-1950
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Frequently asked questions
- What is Lakewood Pediatric Dentistry PLLC's NPI number?
- Lakewood Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1417499500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakewood Pediatric Dentistry PLLC?
- Lakewood Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Lakewood Pediatric Dentistry PLLC located?
- Lakewood Pediatric Dentistry PLLC's practice location on file with NPPES is 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950.
- What is Lakewood Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakewood Pediatric Dentistry PLLC is (716) 763-0130.
- Who is the authorized official for Lakewood Pediatric Dentistry PLLC?
- The authorized official listed on Lakewood Pediatric Dentistry PLLC's NPPES record is Jan Carlson, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakewood Pediatric Dentistry PLLC's NPI active?
- Yes — Lakewood Pediatric Dentistry PLLC's NPI (1417499500) is active in the NPPES registry as of the last update on 2016-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.