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General NPI Number Information
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NPI Number | 1851205355
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Entity Type | Organization
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Legal Business Name | LAKE CITY DENTAL GROUP P.C.
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 42 GRAVELLY POINT DR
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City | PLATTSBURGH
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State | NY
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Zip | 12901-6925
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Country | US
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Telephone | 438-886-1194
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Fax |
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Provider Business Mailing Address
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Address Line | 42 GRAVELLY POINT DR
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City | PLATTSBURGH
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State | NY
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Zip | 12901-6925
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Country | US
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Telephone | 438-886-1194
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM BELMADANI
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Credential | DMD
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Telephone | 438-886-1194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | NULL
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