MEDICARE: CAZENOVIA CREEKSIDE DENTAL, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1295312528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAZENOVIA CREEKSIDE DENTAL, PLLC

Provider Business Mailing Address
First Line	:	2521 VESTAL PKWY W
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-1056
Country	:	US
Telephone Number	:	607-754-2217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CHENANGO ST
Second Line	:
City	:	CAZENOVIA
State	:	NY
Zip	:	13035-1400
Country	:	US
Telephone Number	:	315-655-5885
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT A. LALOR
Credential	:	DDS
Telephone Number	:	607-754-2217

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/24/2021

Similar Medicare Providers

1912312505 — KE JOHN KWEUN DDS
Practice Location Address:

4 CHENANGO ST
CAZENOVIA, NY
13035-1400

Practice Phone: 315-655-5885
Practice Fax:

1396056008 — VIKAS GOEL, DMD PLLC
Practice Location Address:

4 CHENANGO ST
CAZENOVIA, NY
13035-1400

Practice Phone: 315-655-5885
Practice Fax: 866-591-3451

1215412572 — JACQUELINE COLLEEN BUSCHBACH DMD
Practice Location Address:

4 CHENANGO ST
CAZENOVIA, NY
13035-1400

Practice Phone: 570-735-8754
Practice Fax:

1073330510 — DR. SUNNY JUNG DMD
Practice Location Address:

4 CHENANGO ST
CAZENOVIA, NY
13035-1400

Practice Phone: 315-655-5885
Practice Fax:

1760337299 — SARA SILVERMAN SPEECH THERAPY PLLC
Practice Location Address:

37 BURTON ST
CAZENOVIA, NY
13035-1148

Practice Phone: 315-655-1317
Practice Fax:

1699776799 — CYNTHIA B JONES MD
Practice Location Address:

3045 JOHN TRUSH BLVD , ROUTE 20 EAST
CAZENOVIA, NY
13035-9541

Practice Phone: 315-655-8696
Practice Fax: 315-655-4408

Directions to “CAZENOVIA CREEKSIDE DENTAL, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.