1. Home
  2. Directory
  3. New York
  4. Geneva
  5. Clinic Center
  6. NPI Profile

LAKE COUNTRY DENTAL P.L.L.C
NPI 1396274452
Clinic/Center - Dental in Geneva, NY

Active since June 12, 2017
404 WILLIAM ST STE 5, GENEVA, NY 14456(315) 789-3067(315) 789-0056 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 12, 2017 (2 updates tracked since 2017).

About Lake Country Dental P.l.l.c NPPES

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

LAKE COUNTRY DENTAL P.L.L.C (NPI 1396274452) is a healthcare organization registered as a dental in Geneva, New York and active in the NPI registry since June 2017. The organization lists Lisa Kay Mulkin, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1396274452
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE COUNTRY DENTAL P.L.L.C
Location Address404 WILLIAM ST STE 5Geneva, NY 14456-2143
Mailing Address404 William St Ste 5Geneva, NY 14456-2143 · (315) 789-3067 · Fax (315) 789-0056
Phone(315) 789-3067
Fax(315) 789-0056
Organization SubpartNo
Authorized OfficialLisa Kay MulkinOwner/dentist · (315) 789-3067
Enumeration DateJune 12, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1396274452 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 · 050514
404 WILLIAM ST STE 5, Geneva, NY 14456
Open in Google Maps ↗

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 Country Dental P.L.L.C's NPI number?

The NPI number for Lake Country Dental P.L.L.C is 1396274452. It was assigned to this organization in the NPPES registry on June 12, 2017.

Where is Lake Country Dental P.L.L.C located?

Lake Country Dental P.L.L.C is located at 404 William St Ste 5, Geneva, NY 14456. The listed phone number is (315) 789-3067.

What is Lake Country Dental P.L.L.C'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 Lake Country Dental P.L.L.C was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.