1. Home
  2. Directory
  3. New York
  4. Saratoga Springs
  5. Dentist
  6. NPI Profile

LAKE DENTAL OF SARATOGA, PC
NPI 1801196134
Dentist - General Practice in Saratoga Springs, NY

Active since November 03, 2010
176 LAKE AVE, SARATOGA SPRINGS, NY 12866(518) 935-0068(518) 581-1145 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 21, 2017 (2 updates tracked since 2017).

About Lake Dental Of Saratoga, Pc NPPES

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

LAKE DENTAL OF SARATOGA, PC (NPI 1801196134) is a healthcare organization registered as a general practice in Saratoga Springs, New York and active in the NPI registry since November 2010. The organization maintains a secondary practice location in Saratoga Springs and lists Tracie Lynn Dennis, Book Keeper, as its authorized official.

NPPES Registry Identity

NPI1801196134
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE DENTAL OF SARATOGA, PC
Location Address176 LAKE AVESaratoga Springs, NY 12866-2529
Mailing Address176 Lake AveSaratoga Springs, NY 12866-2529 · (518) 935-0068 · Fax (518) 581-1145
Phone(518) 935-0068
Fax(518) 581-1145
Organization SubpartNo
Authorized OfficialTracie Lynn DennisBook Keeper · (518) 817-2490
Enumeration DateNovember 3, 2010
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1801196134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 052845✔ Licensed in NY · 022051-1
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.
176 LAKE AVE, Saratoga Springs, NY 12866
Open in Google Maps ↗

Secondary Practice Location 1

Location 128 Clinton St Ste 7Saratoga Springs, NY 12866-2143 · Phone (518) 935-0068 · Fax (518) 306-5112

Other Identifiers 2

Medicaid1467654178NY
Medicaid1710943774NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KAGUILFOYLEDDSPC
Dentist (Periodontics)
176 LAKE AVE
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 742-6614

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 Dental Of Saratoga, PC's NPI number?

The NPI number for Lake Dental Of Saratoga, PC is 1801196134. It was assigned to this organization in the NPPES registry on November 3, 2010.

Where is Lake Dental Of Saratoga, PC located?

Lake Dental Of Saratoga, PC is located at 176 Lake Ave, Saratoga Springs, NY 12866. The listed phone number is (518) 935-0068.

What is Lake Dental Of Saratoga, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Dental Of Saratoga, PC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.