Lake Shore Orthodontics & Oral Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

024679 Issued in NY

Legal business name

LAKE SHORE ORTHODONTICS & ORAL SURGERY PC

Practice address

415 Main Street
Dunkirk, NY 14048

Phone

(716) 366-8330

Fax

(716) 366-3077

NPI assigned

Oct 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Theodore Strychalski, DDSNPI 1508817255

Title

Oral Surgeon

Phone

(716) 366-8330

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Theodore Strychalski, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Dunkirk, NY
  • NPI 1508817255
  NPD (past) Authorized official
• Irene D Strychalski, DDS MS

  • Dentist
  • Dunkirk, NY
  • NPI 1700993466
  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1285885897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAIN STREET",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "14048",
            "telephone_number": "716-366-8330",
            "fax_number": "716-366-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN STREET",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "14048",
            "telephone_number": "716-366-8330",
            "fax_number": "716-366-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE ORTHODONTICS & ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "STRYCHALSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "716-366-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "031690-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "024679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006 22808",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006 13438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Kurgan, COTA
• Joseph Arthur Kurtz
• Mark Michael Kutner, DC
• Laura A Lack, AGPCPNP
• Michael Lahood, MD PC
• Lakeshore Orthopedic Group, PC
• Deloris Langford, LPN
• Jennifer Larson
• Lindsey Leavitt
• Kyungho Lee, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.