NORTHERN LIGHTS DENTAL
NPI 1386134773
Clinic/Center - Dental in North Syracuse, NY

Active since May 11, 2018
124 NORTHERN LIGHTS DR, NORTH SYRACUSE, NY 13212(315) 299-5777(315) 802-2786 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northern Lights Dental NPPES

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

NORTHERN LIGHTS DENTAL (NPI 1386134773) is a healthcare organization registered as a dental in North Syracuse, New York and active in the NPI registry since May 2018. The organization lists Melissa Marie Lafferty, Supervisior, as its authorized official.

NPPES Registry Identity

NPI1386134773
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEAK DENTAL P.C.
Location Address124 NORTHERN LIGHTS DRNorth Syracuse, NY 13212-4113
Mailing Address124 Northern Lights DrNorth Syracuse, NY 13212-4113 · (315) 299-5777 · Fax (315) 802-2786
Fax(315) 802-2786
Organization SubpartNo
Authorized OfficialMelissa Marie LaffertySupervisior · (315) 283-0857
Enumeration DateMay 11, 2018
NPI 1386134773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in NY · 051614
124 NORTHERN LIGHTS DR, North Syracuse, NY 13212

Other Names 1

Doing Business AsNorthern Lights Dental

Other Providers at the Same Location NPPES 12

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

Dentist
124 NORTHERN LIGHTS DR
N SYRACUSE, NY 13212
Dentist
124 NORTHERN LIGHTS DR
NORTH SYRACUSE, NY 13212
Dentist (Endodontics)
124 NORTHERN LIGHTS DR
NORTH SYRACUSE, NY 13212
Dentist (Oral and Maxillofacial Surgery)
124 NORTHERN LIGHTS DR
N SYRACUSE, NY 13212
Dentist
124 NORTHERN LIGHTS DR
N SYRACUSE, NY 13212
Dentist (General Practice)
124 NORTHERN LIGHTS DR
SYRACUSE, NY 13212
Dentist
124 NORTHERN LIGHTS DR
SYRACUSE, NY 13212
Non-emergency Medical Transport (VAN)
124 NORTHERN LIGHTS DR
NORTH SYRACUSE, NY 13212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386134773, enumerated as an "organization" on May 11, 2018.

The provider is located at 124 NORTHERN LIGHTS DR NORTH SYRACUSE, NY 13212 and the phone number is (315) 299-5777.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.