Organization Active NPI

Lake City Dental Group P.C.

  • General Practice Dentistry
  • Plattsburgh, NY
National Provider Identifier
1851205355
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE CITY DENTAL GROUP P.C.
Practice address
42 Gravelly Point Dr
Plattsburgh, NY 12901-6925
Phone
(438) 886-1194
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Dr. Adam Belmadani, DMD
Title
President
Phone
(438) 886-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

42 Gravelly Point Dr
Plattsburgh, NY 12901-6925

Mailing address

42 Gravelly Point Dr
Plattsburgh, NY 12901-6925
Phone (438) 886-1194

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1851205355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GRAVELLY POINT DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016925",
            "telephone_number": "438-886-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GRAVELLY POINT DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016925",
            "telephone_number": "438-886-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "BELMADANI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "438-886-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.