OrganizationActive
Fredonia Pediatric and Adolescent Dentistry PLLC
NPI 1558811646 · Pediatric Dentistry · Fredonia, NY
Fredonia Pediatric and Adolescent Dentistry PLLC is a Pediatric Dentistry organization in Fredonia, NY (NPI 1558811646).
Provider details
- NPI number
- 1558811646
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Antoinette Lukasik, Pediatric Dentist(716) 672-2854
- License
- 045656 (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
10433 Christy Rd
Fredonia, NY 14063-9788
Phone: (716) 672-2854
Fax: (716) 672-5269
Street-level locationGet directions
Mailing address
10433 Christy Rd
Fredonia, NY 14063-9788
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2019-10-15
Frequently asked questions
- What is Fredonia Pediatric and Adolescent Dentistry PLLC's NPI number?
- Fredonia Pediatric and Adolescent Dentistry PLLC's National Provider Identifier (NPI) is 1558811646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fredonia Pediatric and Adolescent Dentistry PLLC?
- Fredonia Pediatric and Adolescent Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Fredonia Pediatric and Adolescent Dentistry PLLC located?
- Fredonia Pediatric and Adolescent Dentistry PLLC's practice location on file with NPPES is 10433 Christy Rd, Fredonia, NY 14063-9788.
- What is Fredonia Pediatric and Adolescent Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fredonia Pediatric and Adolescent Dentistry PLLC is (716) 672-2854.
- Who is the authorized official for Fredonia Pediatric and Adolescent Dentistry PLLC?
- The authorized official listed on Fredonia Pediatric and Adolescent Dentistry PLLC's NPPES record is Antoinette Lukasik, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fredonia Pediatric and Adolescent Dentistry PLLC's NPI active?
- Yes — Fredonia Pediatric and Adolescent Dentistry PLLC's NPI (1558811646) is active in the NPPES registry as of the last update on 2019-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.