Healthcare Provider Details

I. General information

NPI: 1679486971
Provider Name (Legal Business Name): LADENE NAUJOKAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3144 CHURCH ST
CALEDONIA NY
14423-1013
US

IV. Provider business mailing address

1248 MIDDLE RD
CALEDONIA NY
14423-9717
US

V. Phone/Fax

Practice location:
  • Phone: 585-538-2130
  • Fax:
Mailing address:
  • Phone: 585-355-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number005761
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number018598
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: