Lakeshore Family and Cosmetic Dentistry P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50052259 Issued in NY

Legal business name

LAKESHORE FAMILY AND COSMETIC DENTISTRY P.C.

Practice address

3200 West St
Canandaigua, NY 14424-1722

Phone

(585) 394-5800

Fax

(585) 486-1284

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sandro R Popelka, DDS, MPH

Title

President

Phone

(585) 394-5800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932260684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-394-5800",
            "fax_number": "585-486-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-394-5800",
            "fax_number": "585-486-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE FAMILY AND COSMETIC DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPELKA",
        "authorized_official_first_name": "SANDRO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-394-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50052259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1164514378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Mangari Lafler, PT, MSPT, CSRS
• Bridget C Lagro, CNM
• Anne J. Lahr, CASAC, CPP
• Lake Country Family Medicine, P.C.
• Lake Country Physical Therapy & Sportscare, PC
• Lakeside Audiology and Hearing Solutions, LLC
• Lakeside Balance and Wellness, LLC
• Lakeside ENT & Allergy LLC.
• Deanne M Lamborn, RPH
• Jo Ann Langer, LMSW, CASAC-T

• General Practice Dentistry in Canandaigua, NY
• Providers in Canandaigua, 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.