MONDOVI DENTAL
NPI 1124408364
Dentist - General Practice in Lakewood, NY

Active since June 03, 2015
70 E FAIRMOUNT AVE, LAKEWOOD, NY 14750(716) 763-9838 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mondovi Dental NPPES

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

MONDOVI DENTAL (NPI 1124408364) is a healthcare organization registered as a general practice in Lakewood, New York and active in the NPI registry since June 2015. The organization lists John Catlin, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1124408364
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE CHUTUAQUA DENTAL, PC
Location Address70 E FAIRMOUNT AVELakewood, NY 14750-1812
Mailing Address70 E Fairmount AveLakewood, NY 14750-1812 · (716) 763-9838
Organization SubpartNo
Authorized OfficialJohn CatlinOwner/dentist · (716) 763-9838
Enumeration DateJune 3, 2015
NPI 1124408364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
70 E FAIRMOUNT AVE, Lakewood, NY 14750

Other Names 1

Doing Business AsMondovi Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
70 E FAIRMOUNT AVE
LAKEWOOD, NY 14750

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 Lake Chutuaqua Dental, PC's NPI number?

The NPI number for Lake Chutuaqua Dental, PC is 1124408364. It was assigned to this organization in the NPPES registry on June 3, 2015. The provider is doing business as Mondovi Dental.

Where is Lake Chutuaqua Dental, PC located?

Lake Chutuaqua Dental, PC is located at 70 E Fairmount Ave, Lakewood, NY 14750. The listed phone number is (716) 763-9838.

What is Lake Chutuaqua Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lake Chutuaqua Dental, PC accept?

Health plans from UnitedHealthcare list Lake Chutuaqua Dental, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Chutuaqua Dental, PC was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.