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SOUTHERN TIER DENTISTRY
NPI 1083195754
Clinic/Center - Dental in Lakewood, NY

Active since August 22, 2018
133 E FAIRMOUNT AVE, LAKEWOOD, NY 14750(716) 763-6823(716) 763-0341 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Tier Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN TIER DENTISTRY (NPI 1083195754) is a healthcare organization registered as a dental in Lakewood, New York and active in the NPI registry since August 2018. The organization lists Winchester Logan Stuart, Partner, as its authorized official.

NPPES Registry Identity

NPI1083195754
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHERN TIER DENTISTRY
Location Address133 E FAIRMOUNT AVELakewood, NY 14750-1950
Mailing Address133 E Fairmount AveLakewood, NY 14750-1950 · (716) 763-6823 · Fax (716) 763-0341
Phone(716) 763-6823
Fax(716) 763-0341
Organization SubpartNo
Authorized OfficialWinchester Logan StuartPartner · (716) 763-6823
Enumeration DateAugust 22, 2018
✔ NPI 1083195754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
133 E FAIRMOUNT AVE, Lakewood, NY 14750
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. S MICHAEL JOHNSON D.D.S.
Dentist (General Practice)
133 E FAIRMOUNT AVE
LAKEWOOD, NY 14750
Chautauqua County (716) 763-6823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Tier Dentistry's NPI number?

The NPI number for Southern Tier Dentistry is 1083195754. It was assigned to this organization in the NPPES registry on August 22, 2018.

Where is Southern Tier Dentistry located?

Southern Tier Dentistry is located at 133 E Fairmount Ave, Lakewood, NY 14750. The listed phone number is (716) 763-6823.

What is Southern Tier Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southern Tier Dentistry was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.