Lakewood Pediatric Dentistry Pllc is a Pediatric Dental Clinic in Lakewood, New York. It is located at 133 E Fairmount Ave Ste 1, Lakewood, NY and its contact number is 716-763-0130. The authorized person for Lakewood Pediatric Dentistry Pllc is Dr. Jan Carlson
who is Owner/dentist of the clinic and their contact number is 716-763-0130. The primary license number for Lakewood Pediatric Dentistry Pllc is 058246 (Pediatric Dentistry) in New York.
Lakewood Pediatric Dentistry Pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Lakewood Pediatric Dentistry Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lakewood Pediatric Dentistry Pllc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 133 E Fairmount Ave Ste 1, Lakewood,
New York, 14750-1950 |
| Phone: | 716-763-0130 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jan Carlson |
| Position: | Owner/dentist |
| Contact Number: | 716-763-0130 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lakewood Pediatric Dentistry Pllc clinic are as mentioned below.
| NPI Number: | 1417499500 |
| NPI Enumeration Date: | 07 Nov, 2016 |
| NPI Last Update On: | 07 Nov, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakewood Pediatric Dentistry Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 058246 | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lakewood Pediatric Dentistry Pllc
133 E Fairmount Ave Ste 1,
Lakewood, New York |
| Zip: | 14750-1950 |
| Phone Number: | 716-763-0130 |
Patients can reach Lakewood Pediatric Dentistry Pllc at
133 E Fairmount Ave Ste 1, Lakewood, New York or can
call to book an appointment on 716-763-0130.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.