Active NPI
Mackenzie Olivieri, DDS
- General Practice Dentistry
- Lackawanna, NY
National Provider Identifier
1720660004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 062973
- Practice address
- 1497 Abbott Rd
Lackawanna, NY 14218-2057 - Phone
- (716) 825-5020
- NPI assigned
- Apr 26, 2021
- Last updated
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 062973 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 12672 | NC |
Addresses
Primary practice location
1497 Abbott Rd
Lackawanna, NY 14218-2057
Mailing address
1497 Abbott Rd
Lackawanna, NY 14218-2057
Phone (716) 825-5020
Other practice location 1
394 Main St
East Aurora, NY 14052-1715
Phone (716) 655-8880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12672 | NC | MD | General Practice Dentistry |
| 062973 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dental Associates PLLC | General Practice | Past | Accepting new patients |
| John W. Hooker,DDS,PA | Past | Accepting new patients | |
| Jennifer Lynn Finney, DDS, PLLC | Past | Accepting new patients | |
| James F May DDS LLC | General Practice | Past | Accepting new patients |
| University Pediatric Dentistry, P.C. | Past | Accepting new patients | |
| DRS Roberts Reimels and Kashyap PLLC | General Practice | Past | Accepting new patients |
| Southtowns Dental Services PC | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Elma, NY
- NPI 1598777344
-
- Pediatric Dentistry
- Williamsville, NY
- NPI 1144730649
General Practice
-
- Dental Hygienist
- Lackawanna, NY
- NPI 1982616033
-
- Pediatric Dentistry
- Buffalo, NY
- NPI 1649389560
-
- General Practice Dentistry
- Greensboro, NC
- NPI 1891293205
-
- Dentist
- Greensboro, NC
- NPI 1225333586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1720660004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 ABBOTT RD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142182057",
"telephone_number": "716-825-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1497 ABBOTT RD",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142182057",
"telephone_number": "716-825-5020"
}
],
"practiceLocations": [
{
"address_1": "394 Main St",
"address_purpose": "LOCATION",
"city": "East Aurora",
"state": "NY",
"postal_code": "140521715",
"country_code": "US",
"telephone_number": "716-655-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVIERI",
"first_name": "MACKENZIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "062973",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackawanna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.