Twichell and Lukasik DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

032849 Issued in NY

Legal business name

TWICHELL AND LUKASIK DDS

Practice address

85 W Main St
Fredonia, NY 14063

Phone

(716) 672-2854

Fax

(716) 672-5269

NPI assigned

Nov 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark L Twichell, DDS

Title

Partner

Phone

(716) 672-2854

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1043490014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W MAIN ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "14063",
            "telephone_number": "716-672-2854",
            "fax_number": "716-672-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W MAIN ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "14063",
            "telephone_number": "716-672-2854",
            "fax_number": "716-672-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWICHELL AND LUKASIK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "TWICHELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "716-672-2854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "032849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01049536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Swanson, O.D.
• Phillip F. Terrano, L.C.S.W.-R
• Danielle Marie Thompson
• Kim L Tillery, PHD
• Sarah Christine Titus, LCSW
• Mark L Twichell, DDS
• Kathryn Marie Vanvalkenburg, PHARM-D
• Sandra Vedovato, PH.D.
• Village of Fredonia
• Andrew Mark Vincek, PT, DPT

• Pediatric Dentistry in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.