Lalor Creekside Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

023266 Issued in NY

Legal business name

LALOR CREEKSIDE DENTAL

Practice address

2521 Vestal Pkwy W
Vestal, NY 13850-1056

Phone

(607) 754-2217

Fax

(607) 754-0827

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Robert Thomas Lalor, DDS

Title

President

Phone

(607) 754-2217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427116003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 VESTAL PKWY W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501056",
            "telephone_number": "607-754-2217",
            "fax_number": "607-754-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 VESTAL PKWY W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501056",
            "telephone_number": "607-754-2217",
            "fax_number": "607-754-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALOR CREEKSIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-754-2217",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "023266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baris Mehmet Kural, M.D.
• Colleen Heather Kussard, DPT
• Elizabeth Labarre, NP
• Kaylyn Blaire Labarre, PT
• Justin Ladue, LPN
• Robert Andrew Lalor, M.D.
• Bryant Lambert, D.D.S.
• Karen Lamont, M.S.ED.
• Matthew Kevin Lamphere, LMHC, CASAC
• Kathryn Land, NP

• General Practice Dentistry in Vestal, NY
• Providers in Vestal, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.