Lakes Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKES DENTAL PLLC

Practice address

270 Lake St Ste 5
Penn Yan, NY 14527-1832

Phone

(315) 694-7901

Fax

(315) 694-7172

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sia Hersini, DMD

Title

Ceo

Phone

(914) 261-1650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1558845099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LAKE ST STE 5",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271832",
            "telephone_number": "315-694-7901",
            "fax_number": "315-694-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LAKE ST STE 5",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271832",
            "telephone_number": "315-694-7901",
            "fax_number": "315-694-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "HERSINI",
        "authorized_official_first_name": "SIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-261-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy R Kirk, MS RD CON
• Robert Dayton Knapp, OTR/L
• Maxine Margaret Kniffi, RN, MSN
• Harsh P Kothari, PHARM D.
• Austin Lafferty
• Tina Marie Lass, LMSW
• Vy Le, MD
• Patrick James Lenney, LCSW
• Laurena Lepp, CNM
• Beverly Alice Lewis, RN

• Dentist in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.