Charleen J. Lake, DDS

General Practice Dentistry · Hinsdale, IL

Individual Active NPI

NPI number 1336418458

Practice location

321 N Adams St
Hinsdale, IL 60521-3127
Phone
(630) 323-4971

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NPI record

NPI
1336418458
Entity type
Individual (Type 1)
Enumeration date
December 19, 2011
Last updated
December 19, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019016578 IL

About Dr. Lake

Charleen J. Lake, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 321 N Adams St, Hinsdale, IL 60521-3127. The NPI number 1336418458 was assigned on December 19, 2011 and the record was last updated on December 19, 2011.

Dr. Lake lists a license in the registry: #019016578 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charleen J. Lake, DDS?

The NPI number is 1336418458.

What is the phone number of Dr. Lake?

The phone number listed for the practice location is (630) 323-4971.

Where is Dr. Lake located?

321 N Adams St, Hinsdale, IL 60521-3127.

What is the taxonomy code for Dr. Lake?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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